Invitation to Bid #901229B Outdoor Pad-Mounted Medium Voltage ...
Invitation to Bid #901229B Outdoor Pad-Mounted Medium Voltage ...
Invitation to Bid #901229B Outdoor Pad-Mounted Medium Voltage ...
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University of Connecticut Purchasing Department<br />
3 North Hillside Road, Unit 6076, S<strong>to</strong>rrs, CT 06269-6076<br />
<strong>Invitation</strong> <strong>to</strong> <strong>Bid</strong><br />
<strong>#901229B</strong><br />
<strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> <strong>Medium</strong> <strong>Voltage</strong> Switchgear<br />
Date Issued <strong>Bid</strong> Due Date Prepared By Telephone #<br />
May 15, 2012 May 22, 2012<br />
@ 2:00 p.m. (EST)<br />
Lisa Mieszkowicz<br />
Purchasing Agent II<br />
(860) 486-8054
Table of Contents<br />
Introduction<br />
Section I – Introduction<br />
Section II – Specifications<br />
Section III – Submittal<br />
Section IV – Award<br />
Section V – Campus Information<br />
Cover Page for Submittal<br />
(includes checklist of required documents)<br />
Form of <strong>Bid</strong><br />
Point-by-Point response sheets<br />
<strong>Bid</strong>der’s Qualification Statement<br />
Standard Forms:<br />
CHRO Contract Compliance Regulations<br />
<strong>Bid</strong>der Contract Compliance Moni<strong>to</strong>ring Report<br />
SEEC Form 11<br />
Non-discrimination Certification<br />
Ethics Memo
Section I<br />
Introduction<br />
1.0 Scope<br />
The University of Connecticut (hereinafter referred <strong>to</strong> as the "University") is seeking bids from<br />
experienced and qualified vendors <strong>to</strong> furnish and deliver <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> <strong>Medium</strong> <strong>Voltage</strong><br />
Switchgear for the University of Connecticut in S<strong>to</strong>rrs, Connecticut. The successful bidder will be<br />
responsible <strong>to</strong> deliver the equipment <strong>to</strong> the designated location.<br />
1.1 Time Table<br />
<strong>Invitation</strong> <strong>to</strong> <strong>Bid</strong> Issued May 15, 2012<br />
Closing date for inquiries May 17, 2012<br />
Quotations Due May 22, 2012<br />
Note: The University reserves the right <strong>to</strong> adjust the timetable as deemed necessary.<br />
1.2 Errors<br />
Respondents shall promptly notify the University of any ambiguity, inconsistency or error that they may<br />
discover upon examination of these documents.<br />
1.3 Clarifications<br />
A firm requiring clarification or interpretation of the <strong>Invitation</strong> <strong>to</strong> <strong>Bid</strong> shall make a written request <strong>to</strong> the<br />
University via facsimile <strong>to</strong> (860) 486-1953, by e-mail <strong>to</strong> lisa.mieszkowicz@uconn.edu or by mail <strong>to</strong>:<br />
Lisa Mieszkowicz<br />
Procurement Services<br />
University of Connecticut<br />
3 North Hillside Road, Unit 6047<br />
S<strong>to</strong>rrs, CT 06269-6047<br />
1.3.1 Any interpretation, correction, or change of this bid shall be made by addendum.<br />
Interpretations, corrections or changes of the <strong>Bid</strong> made in any other manner shall not be binding<br />
and firms shall not rely upon such interpretations, corrections or changes. Any changes or<br />
corrections shall be issued by the University Purchasing Department in the form of an<br />
addendum <strong>to</strong> the <strong>Bid</strong>. All addenda shall be mailed or delivered <strong>to</strong> all who are known <strong>to</strong> have<br />
received the <strong>Bid</strong>.<br />
1.3.2 From the date of receipt of this solicitation until a formal award is approved or the University<br />
has rejected all responses, all communications must be conducted through the Purchasing<br />
Department. Direct contact between any potential bidder and any other department are strictly<br />
prohibited. Failure <strong>to</strong> adhere <strong>to</strong> this policy may result in the rejection of the vendor’s response<br />
or cancellation of this solicitation.
1.4 Communications between the University and the Vendor:<br />
1.4.1 Informal Communications:<br />
From the date of receipt of this RFP by each vendor until a binding contractual agreement exists<br />
with the selected vendor and all other vendors have been notified or when the University rejects all<br />
proposals, informal communications regarding this procurement shall cease. Informal<br />
communications shall include but not be limited <strong>to</strong>:<br />
1.4.1.1 Requests from the vendors <strong>to</strong> any department(s) at the University, for information,<br />
comments, speculation, etc; and<br />
1.4.1.2 Requests from any department at the University, or any employee of the University for<br />
information, comments, speculation, etc.<br />
1.4.2 Formal Communications:<br />
From the date of receipt of this Request for Proposal by each vendor until a binding contractual<br />
agreement exists with the selected vendors and all other vendors have been notified or when the<br />
University rejects all proposals, all communications between the University and the vendors will be<br />
formal, or as provided for in this Request for Proposal. Formal communications shall include but<br />
not be limited <strong>to</strong>:<br />
1.4.2.1 Oral Presentations<br />
1.4.2.2 Pre-Award Negotiations<br />
1.4.3 ANY FAILURE TO ADHERE TO THE PROVISIONS SET FORTH IN 1.4.1 AND 1.4.2 ABOVE MAY<br />
RESULT IN THE REJECTION OF ANY VENDORS PROPOSAL OR CANCELLATION OF THIS<br />
REQUEST FOR PROPOSAL.<br />
1.5 Attention <strong>to</strong> Terms and Conditions<br />
1.5.1 The terms and conditions included in this document must be reviewed carefully <strong>to</strong> ensure full<br />
responsiveness <strong>to</strong> the RFP. The final contract shall be, in form and substance, consistent with<br />
applicable University policies and State of Connecticut statutes and regulations regarding the<br />
creation and execution of such Agreements. The purchase order, when duly executed, will<br />
represent the entire contract agreement between the parties.<br />
1.5.2 Failure <strong>to</strong> agree <strong>to</strong> the terms and conditions found herein may cause the vendor’s submittal <strong>to</strong> be<br />
non-compliant and subject <strong>to</strong> rejection. The submittal of a proposal shall be conclusive evidence of<br />
the bidder’s understanding of the University’s intent <strong>to</strong> incorporate such terms and conditions in<strong>to</strong><br />
the final contract.<br />
1.6 Responses<br />
<strong>Bid</strong>s will be accepted until 2:00 p.m. (EST) on May 22, 2012. Responses received after the deadline will<br />
not be considered.
Section II<br />
Specifications
PRE-PURCHASE SPECIFICATION<br />
SECTION 261012<br />
OUTDOOR PAD-MOUNTED MEDIUM VOLTAGE SWITCHGEAR<br />
for the<br />
MEDIUM VOLTAGE ELECTRICAL SYSTEM FOR RWF<br />
for<br />
UNIVERSITY OF CONNECTICUT<br />
STORRS, CONNECTICUT<br />
Project No. 901229B<br />
April 17, 2012<br />
Prepared By:<br />
van Zelm Engineers<br />
Mechanical & Electrical Engineers<br />
10 Talcott Notch<br />
Farming<strong>to</strong>n, Connecticut 06032<br />
Project No. 2011107.00
TABLE OF CONTENTS<br />
SECTION 261012 – PRE-PURCHASE OUTDOOR PAD-MOUNTED MEDIUM VOLTAGE<br />
SWITCHGEAR<br />
PART 1 - GENERAL ................................................................................................................................... 1<br />
1.1 REFERENCES ............................................................................................................................. 1<br />
1.2 SCOPE .......................................................................................................................................... 1<br />
1.3 SUBMITTALS ............................................................................................................................. 1<br />
1.4 OPERATING AND MAINTENANCE MANUALS ................................................................... 2<br />
1.5 GUARANTEE .............................................................................................................................. 2<br />
PART 2 - PRODUCTS ................................................................................................................................. 3<br />
2.1 OUTDOOR PAD-MOUNTED MEDIUM VOLTAGE SWITCHGEAR .................................... 3<br />
PART 3 - EXECUTION ............................................................................................................................... 7<br />
3.1 TESTING ...................................................................................................................................... 7<br />
3.2 DEMONSTRATION .................................................................................................................... 8
SECTION 261012<br />
PRE-PURCHSE OUTDOOR PAD-MOUNTED<br />
MEDIUM VOLTAGE SWITCHGEAR<br />
SECTION 261012 – PRE-PURCHASE OUTDOOR PAD-MOUNTED MEDIUM VOLTAGE<br />
SWITCHGEAR<br />
PART 1 - GENERAL<br />
1.1 REFERENCES<br />
A. This Section covers the specification of medium voltage electrical service and high voltage<br />
distribution systems (over 600 V). Refer <strong>to</strong> SECTION 260010, SECTION 260500, GENERAL<br />
CONDITIONS, SUPPLEMENTARY CONDITIONS and applicable parts of DIVISION 1 for<br />
other general requirements.<br />
1.2 SCOPE<br />
A. Provide labor, materials, services, equipment and transportation necessary for complete and<br />
operational medium voltage service, as indicated on Contract Drawings and specified herein,<br />
including but not limited <strong>to</strong> following:<br />
1. <strong>Outdoor</strong> pad mounted medium voltage switchgear<br />
2. Startup and testing<br />
B. The outdoor pad mounted medium voltage switchgear will be pre-purchased by the Owner and<br />
assigned <strong>to</strong> the Contrac<strong>to</strong>r.<br />
1.3 SUBMITTALS<br />
A. Submit for review shop drawings for following:<br />
1. <strong>Outdoor</strong> pad mounted medium voltage switchgear<br />
B. Submit the following for switchgear:<br />
1. Description of configuration and operation of proposed system.<br />
2. Outline drawings of proposed equipment in plan and elevation view including overall<br />
dimensions, weights and clearances required.<br />
3. Equipment delivery schedule(s).<br />
4. List of similar systems installed within last three years with names and telephone<br />
numbers of design engineers and/or cus<strong>to</strong>mer personnel for each system.<br />
5. List of major components, manufacturer, and model number proposed. Include electrical<br />
ratings, performance data and other specifications.<br />
6. List of deviations from this specification, with reference <strong>to</strong> applicable specification<br />
paragraph(s). Description of deviation must be specific with information indicating that<br />
product offered equals or exceeds specification.<br />
7. Copy of warranty.<br />
8. List of (a) items covered by warranty and (b) items not covered by warranty.<br />
UCONN S<strong>to</strong>rrs<br />
<strong>Medium</strong> <strong>Voltage</strong> Electrical System for RWF April 17, 2012<br />
Pre-Purchase <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> MV Switchgear van Zelm #2011107.00 261012 - 1
SECTION 261012<br />
PRE-PURCHSE OUTDOOR PAD-MOUNTED<br />
MEDIUM VOLTAGE SWITCHGEAR<br />
9. Description of Owner’s responsibilities during warranty period, detailing inspections,<br />
tests, replacement of parts or materials, and other work required <strong>to</strong> be accomplished by<br />
Owner.<br />
10. Identification of nearest location of permanent outlet from which parts and service may<br />
be obtained at any time during the day or night. Outlet must be within 100 miles of<br />
Owner’s facility and must have sufficient inven<strong>to</strong>ry <strong>to</strong> maintain over-the-counter<br />
availability of at least 90% of any required parts.<br />
11. Seismic qualification certification.<br />
C. Submit five copies of certified test report with actual test values, showing compliance with<br />
INETA specifications, <strong>to</strong> Engineer for review.<br />
1.4 OPERATING AND MAINTENANCE MANUALS<br />
A. Submit for review operating and maintenance manuals for each system or piece of equipment,<br />
at least two weeks prior <strong>to</strong> request for acceptance of same. Upon acceptance, furnish four<br />
copies of each manual (or greater quantity if otherwise specified under DIVISION 1) <strong>to</strong> the<br />
Architect for transmittal <strong>to</strong> Owner. Operating and maintenance manual shall include:<br />
1. Description of Unit (System) and Component Parts, including function, normal operating<br />
characteristics and limiting conditions, performance curves, engineering data and tests,<br />
and complete nomenclature and manufacturer's number for replaceable parts.<br />
2. Operating Procedures, including start-up, break-in, routine and normal operating<br />
instructions; regulation, control, s<strong>to</strong>pping, shutdown and emergency instructions; summer<br />
and winter operating instructions; and any special operating instructions.<br />
3. Maintenance Procedures, including routine operations, guide <strong>to</strong> trouble-shooting;<br />
disassembly, repair and reassembly; alignment, adjusting and checking; servicing and<br />
lubrication schedule, and list of lubricants; manufacturer's installation and maintenance<br />
bulletins and related information.<br />
4. Sequence of Operation and Control Diagrams, corrected for as-built conditions.<br />
5. Parts List, including illustrations, assembly drawings and diagrams required for<br />
maintenance, predicted life of parts subject <strong>to</strong> wear, and recommendations for s<strong>to</strong>cking<br />
spare parts.<br />
6. Copies of accepted shop drawings, charts and diagrams.<br />
7. Names, addresses and telephone numbers of manufacturer's representative and service<br />
company.<br />
8. Other data, as required under pertinent Sections of these Specifications.<br />
9. Letters from each manufacturer certifying that his equipment was properly installed and<br />
is operating in accordance with manufacturer's intent.<br />
10. Copies of equipment test reports including field test reports and manufacture fac<strong>to</strong>ry test<br />
reports.<br />
1.5 GUARANTEE<br />
A. Switchgear, transformers and accessory equipment shall be guaranteed by manufacturer for<br />
minimum of five years from Date of Acceptance by Owner. Service Engineer shall be at<br />
Owner’s site within five hours of Owner’s telephone request for service.<br />
UCONN S<strong>to</strong>rrs<br />
<strong>Medium</strong> <strong>Voltage</strong> Electrical System for RWF April 17, 2012<br />
Pre-Purchase <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> MV Switchgear van Zelm #2011107.00 261012 - 2
SECTION 261012<br />
PRE-PURCHSE OUTDOOR PAD-MOUNTED<br />
MEDIUM VOLTAGE SWITCHGEAR<br />
1. For the first two years, guarantee shall include repairs, replacement parts, labor coverage<br />
including travel expenses, expendables and other items; at no additional cost <strong>to</strong> the<br />
Owner.<br />
2. For years three through five, guarantee shall include replacement parts.<br />
B. Materials, equipment and workmanship shall carry the standard warranty against defects in<br />
material and workmanship. Failure which may develop due <strong>to</strong> defective or improper material,<br />
equipment, workmanship or design shall be made good, forthwith, by and at the expense of the<br />
Prepurchase Contrac<strong>to</strong>r, including damage done <strong>to</strong> areas, materials and other systems resulting<br />
from this failure. Labor and freight costs shall be specifically included in guarantee.<br />
C. Upon receipt of notice from owner of a failure of system(s) or components(s) during the<br />
guarantee period, replace affected components within reasonable time period at no additional<br />
cost.<br />
D. Furnish written guarantee that all elements of the systems are of sufficient capacity <strong>to</strong> meet the<br />
specified performance requirements as set forth in Contract Documents.<br />
E. Guarantees shall be in addition <strong>to</strong>, and not in lieu of, any other liabilities under the law or by<br />
other provisions of the Contract Documents.<br />
PART 2 - PRODUCTS<br />
2.1 OUTDOOR PAD-MOUNTED MEDIUM VOLTAGE SWITCHGEAR<br />
A. Materials and components shall be of current manufacture from a firm regularly engaged in the<br />
production of such equipment, provide products by the following:<br />
1. S&C Electric Co.<br />
B. Seismic Requirements:<br />
1. Manufacturer Seismic Qualification Certification: Submit certification that switchgear<br />
assembly and components will withstand seismic forces defined as Seismic Design<br />
Category “D” Include the following:<br />
a. Basis for Certification: Indicate whether withstand certification is based on actual<br />
test of assembled components or on calculation.<br />
b. The term "withstand" means "the unit will remain in place without separation of<br />
any parts from the device when subjected <strong>to</strong> the seismic forces specified and the<br />
unit will be fully operational after the seismic event."<br />
2. Dimensioned Outline Drawings of Equipment Unit: Identify center of gravity and locate<br />
and describe mounting and anchorage provisions.<br />
3. Detailed description of equipment anchorage devices on which the certification is based<br />
and their installation requirements.<br />
UCONN S<strong>to</strong>rrs<br />
<strong>Medium</strong> <strong>Voltage</strong> Electrical System for RWF April 17, 2012<br />
Pre-Purchase <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> MV Switchgear van Zelm #2011107.00 261012 - 3
SECTION 261012<br />
PRE-PURCHSE OUTDOOR PAD-MOUNTED<br />
MEDIUM VOLTAGE SWITCHGEAR<br />
C. Equipment shall have method for attachment <strong>to</strong> structure, capable of meeting seismic<br />
requirements; e.g., frame bolt holes.<br />
D. The switchgear shall be S&C Manual or Source-Transfer PMH <strong>Pad</strong>-<strong>Mounted</strong> Gear with directly<br />
operable accessible components. Switches and fuses shall be clearly visible. Manual PMH<br />
models contain 600-ampere external handle-operated S&C Mini-Rupter ® Switches for threepole<br />
live switching of three-phase source circuits, and 200-ampere hookstick-operated S&C<br />
Power Fuses with Uni-Rupter for single-pole live switching of single-phase or three-phase<br />
load circuits.<br />
E. S&C Source-Transfer PMH Models shall be provided with fully au<strong>to</strong>matic primary-selective<br />
service and fault protection for one or two critical load circuits on solidly grounded systems<br />
where noted on drawings and scheduled herein. Switches shall meet NU standards for Master-<br />
Companion Source-Transfer devices.<br />
These models will contain:<br />
1. S<strong>to</strong>red-energy switch-opera<strong>to</strong>r-driven 600-ampere S&C Mini-Rupter ® Switches for threepole<br />
live switching of three-phase source circuits.<br />
2. A <strong>to</strong>tally self-contained au<strong>to</strong>matic source-transfer package with S&C <strong>Voltage</strong> Sensors for<br />
sensing and control power, and the S&C Micro-AT Source-Transfer Control for<br />
programmed control of all switching functions associated with au<strong>to</strong>matic source transfer.<br />
3. Decouplers <strong>to</strong> permit exercising of the switch opera<strong>to</strong>rs without affecting the positions of<br />
the switches.<br />
4. 200-ampere hookstick-operated S&C Power Fuses with Uni-Rupter for single pole live<br />
switching of single-phase or three-phase load circuits.<br />
F. Provide <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> Primary Switch as shown on drawings and per the following<br />
schedule:<br />
Primary Switch Label S&C Model Manual or Source Transfer<br />
Switch #42 PMH-9 Master Unit<br />
Switch #43 PMH-12 Companion Unit<br />
Switch #44 PMH-3 Manual<br />
G. Ratings: The ratings for the switches shall be as designated below:<br />
Frequency, Hz 60<br />
KV Nominal 14.4<br />
KV, Maximum 17.0<br />
KV, BIL 95<br />
Ratings, Amperes 600<br />
Three-Pole Fuse with Uni-Rupter <br />
Continuous Amperes 200<br />
Load Dropping, Amperes 200<br />
Short Circuit Rating<br />
UCONN S<strong>to</strong>rrs<br />
<strong>Medium</strong> <strong>Voltage</strong> Electrical System for RWF April 17, 2012<br />
Pre-Purchase <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> MV Switchgear van Zelm #2011107.00 261012 - 4
SECTION 261012<br />
PRE-PURCHSE OUTDOOR PAD-MOUNTED<br />
MEDIUM VOLTAGE SWITCHGEAR<br />
Amperes RMS Symmetrical 14,000<br />
MVA 3-Phase Sym. At Rated <strong>Voltage</strong> 350<br />
Mini-Rupter ®<br />
Continuous, Amperes 600<br />
Load Dropping, Amperes 600<br />
Three-Time Duty-Cycle Fault-Closing<br />
Amperes RMS Symmetrical 14,000<br />
Amperes, Peak 36,400<br />
Short-Circuit Rating-Amperes<br />
Peak Withstand 36,400<br />
One Second Withstand 14,000<br />
H. Certification of Ratings<br />
1. The manufacturer of the switch shall be completely and solely responsible for the<br />
performance of the load-interrupter switch and fault interrupter as well as the complete<br />
integrated assembly as rated.<br />
2. The manufacturer shall furnish, upon request, certification of ratings of the Uni-Rupter <br />
switch, Mini-Rupters ® interrupter, and the integrated switchgear assembly consisting of<br />
switches and fault interrupters in combination with the gas-tight tank.<br />
I. Compliance with Standards and Codes<br />
1. The switchgear shall conform <strong>to</strong> or exceed the applicable requirements of local and<br />
national standards and codes.<br />
J. Construction<br />
1. Enclosures shall be stainless steel and shall meet the requirements of ANSI C57.12.28<br />
(enclosure integrity). They shall be free-standing, self-supporting construction-not for<br />
bolting directly <strong>to</strong> transformers-with provisions for cable entrance and exit through the<br />
bot<strong>to</strong>m. Access <strong>to</strong> medium voltage shall be controlled by the S&C Penta-Latch ®<br />
Mechanism. The Penta-Latch ® Mechanism provides au<strong>to</strong>matic door latching and permits<br />
padlocking only when the door is securely latched. The door can be opened only with a<br />
pentahead socket wrench or <strong>to</strong>ol.<br />
a. The enclosure roof shall be undercoated with an insulating “no-drip” compound.<br />
A resilient closed-cell gasket on the enclosure bot<strong>to</strong>m flange protects the finish<br />
from being scratched during installation and isolates it from the alkalinity of a<br />
concrete foundation. Enclosures shall be protected from corrosion by S&C’s olive<br />
green Ultradur ® Finishing System.<br />
2. Provide a dual-purpose front barrier of fiberglass-reinforced polyester for each switch<br />
and fuse. When the switch or fuse is in the open position, this barrier can be inserted in<strong>to</strong><br />
the open gap <strong>to</strong> guard against inadvertent contact with live parts.<br />
a. Provide interphase and end barriers of the same material with each switch and each<br />
set of fuses where required <strong>to</strong> achieve published BIL ratings.<br />
UCONN S<strong>to</strong>rrs<br />
<strong>Medium</strong> <strong>Voltage</strong> Electrical System for RWF April 17, 2012<br />
Pre-Purchase <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> MV Switchgear van Zelm #2011107.00 261012 - 5
SECTION 261012<br />
PRE-PURCHSE OUTDOOR PAD-MOUNTED<br />
MEDIUM VOLTAGE SWITCHGEAR<br />
b. Provide additional barriers of fiberglass-reinforced polyester <strong>to</strong> separate front and<br />
rear compartments and isolate the tie bus and provide full-length steel barriers <strong>to</strong><br />
separate adjoining compartments.<br />
3. Provide a Grappler (S&C fuse handling fitting), an instruction manual holder; and<br />
s<strong>to</strong>rage racks in the fuse-compartment doors for spare S&C Fuse Units or Refill Units<br />
and for the Grappler.<br />
K. Optional Features<br />
a. Provide a folding switch-operating handle, secured inside the switch-operating-hub<br />
pocket, for each Mini-Rupter® Switch. Terminal pads shall accommodate a<br />
variety of cable-terminating devices for cable sizes through 1000 kc mil for switch<br />
and bus terminals, 4/0 maximum for fuse terminals. Provide each switch, fuse, bus<br />
terminal and each ground pad with a ground stud.<br />
1. Provide the following optional features and accessories.<br />
L. Fusing<br />
ITEM DESCRIPTION<br />
CAT. NUMBER<br />
SUFFIX<br />
Stainless-Steel Enclosure With Olive Green <strong>Outdoor</strong> Ultradur Finish A10<br />
Key Interlocks <strong>to</strong> prevent opening fuse-compartment doors unless all switches are locked<br />
C15<br />
open.<br />
Mechanical Cable Interlocks <strong>to</strong> prevent operation of switch when associated switchcompartment<br />
C16<br />
door is open.<br />
Auxillary Switches - 4-PST, one coupled <strong>to</strong> each switch.<br />
C19<br />
Auxillary Switches - 4-PST, one coupled <strong>to</strong> each s<strong>to</strong>red-energy opera<strong>to</strong>r.<br />
C20<br />
Inner Barrier Panels – a panel inside the enclosure door for each compartment, secured by<br />
G7<br />
recessed pentahead bolt(s).<br />
Copper Ground Stud for each switch or fuse In fuse compartments<br />
H2<br />
terminal and ground pad.<br />
In switch compartments<br />
J2<br />
Overcurrent lockout which prevents an au<strong>to</strong>matic source transfer that would close a switch Y2<br />
in<strong>to</strong> a fault. Includes field adjustable lockout level and lockout-reset time delay, lockoutindicating<br />
lamp, manual-reset key, facilities for external reset, and six current sensors (one<br />
per phase for each switch).<br />
Remote indication which includes provisions for remote moni<strong>to</strong>ring of presence or absence Y4<br />
of source voltages, manual or au<strong>to</strong>matic operating mode, and status of “ready” indica<strong>to</strong>r,<br />
“event” indica<strong>to</strong>r, and overcurrent lockout.<br />
Supervisory Control - Permits switch operation from a remote location.<br />
Communications Card - Permits local uploading of “events” and settings from the Micro-<br />
AT control <strong>to</strong> a user-furnished personal computer as well as down-loading of the user’s<br />
standard operating parameters.<br />
Micro-AT Communication Cable – For<br />
connecting optional communications card <strong>to</strong><br />
userfurnished personal computer. Includes<br />
Matlink communication software.<br />
For personal computers having 25-pin<br />
serial communication port.<br />
Note: H2 and Y2 accessories are not required for the PMH-3 switch.<br />
1. Power fusing shall be SML-20 with the following components.<br />
Y6<br />
Y8<br />
TA-2320<br />
UCONN S<strong>to</strong>rrs<br />
<strong>Medium</strong> <strong>Voltage</strong> Electrical System for RWF April 17, 2012<br />
Pre-Purchase <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> MV Switchgear van Zelm #2011107.00 261012 - 6
SECTION 261012<br />
PRE-PURCHSE OUTDOOR PAD-MOUNTED<br />
MEDIUM VOLTAGE SWITCHGEAR<br />
M. Labeling<br />
a. Fuse unit end fittings including silencer for use with SMU-20 fuses; cat. number<br />
3097.<br />
b. SMU-20 Fuse Units with type “K” standard speed units with S&C TCC165-2<br />
characteristics. Refer <strong>to</strong> drawings for current rating for the various fuses.<br />
c. Provide one (1) spare set of fuse cartridges (3 each) for each fuse type and rating.<br />
d. Fuses will be delivered <strong>to</strong> and installed by Uconn Electrical Staff.<br />
1. Hazard-Alterting Signs<br />
a. Each unit of switchgear shall be provided with "Danger-Hazardous <strong>Voltage</strong>-<br />
Failure <strong>to</strong> Follow These Instructions Will Likely Cause Shock, Burns, or Death"<br />
sign. The text shall further indicate that operating personnel must know and obey<br />
the employer's work rules, know the hazards involved, and use proper protective<br />
equipment and <strong>to</strong>ols <strong>to</strong> work on this equipment.<br />
b. Each unit of switchgear shall be provided with a "Danger-Keep Away-Hazardous<br />
<strong>Voltage</strong>-Will Shock, Burn, or Cause Death" sign.<br />
2. Nameplates, Ratings Labels, and Connection Diagrams<br />
a. Each unit of switchgear shall be provided with a ratings label indicating the<br />
following: Mimic bus, voltage rating; main bus continuous rating; short-circuit<br />
rating; fault-interrupter ratings including interrupting and duty-cycle fault-closing;<br />
and load-interrupter switch ratings including duty-cycle fault-closing and shortterm.<br />
N. A fac<strong>to</strong>ry-authorized local service representative shall assist in installation of the switchgear,<br />
shall provide sequencing, programming, test and fully commission the au<strong>to</strong>matic source transfer<br />
system <strong>to</strong> insure and demonstrate proper operation.<br />
PART 3 - EXECUTION<br />
3.1 TESTING<br />
A. Acceptance testing for electrical equipment and cable, specified herein, shall be performed by<br />
independent testing firm with minimum ten years experience in testing the specified items.<br />
Firm shall be member of International Electrical Testing Association (INETA).<br />
B. Prepare for acceptance tests as follows:<br />
1. Test insulation resistance for each switchgear bus, component, connecting supply, feeder,<br />
and control circuit.<br />
2. Test continuity of each circuit.<br />
UCONN S<strong>to</strong>rrs<br />
<strong>Medium</strong> <strong>Voltage</strong> Electrical System for RWF April 17, 2012<br />
Pre-Purchase <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> MV Switchgear van Zelm #2011107.00 261012 - 7
SECTION 261012<br />
PRE-PURCHSE OUTDOOR PAD-MOUNTED<br />
MEDIUM VOLTAGE SWITCHGEAR<br />
C. Manufacturer's Field Service: Engage a fac<strong>to</strong>ry-authorized service representative <strong>to</strong> perform the<br />
following:<br />
1. Inspect switchgear, wiring, components, connections, and equipment installation. Test<br />
and adjust components and equipment.<br />
2. Report results in writing.<br />
D. Testing Agency: A qualified independent testing and inspecting agency will be engaged by the<br />
Contrac<strong>to</strong>r <strong>to</strong> perform field tests and inspections and prepare test reports.<br />
E. Perform the following field tests and inspections and prepare test reports:<br />
1. Perform each electrical test and visual and mechanical inspection stated in NETA ATS.<br />
Certify compliance with test parameters. Perform NETA tests and inspections for each of<br />
the following NETA categories:<br />
a. <strong>Pad</strong>-mounted medium voltage switchgear<br />
F. Remove and replace malfunctioning units and retest as specified above.<br />
3.2 DEMONSTRATION<br />
A. Engage a fac<strong>to</strong>ry-authorized service representative <strong>to</strong> train Owner's maintenance personnel <strong>to</strong><br />
adjust, operate, and maintain switchgear. Refer <strong>to</strong> Division 01 Section "Demonstration and<br />
Training."<br />
END OF SECTION 261012<br />
UCONN S<strong>to</strong>rrs<br />
<strong>Medium</strong> <strong>Voltage</strong> Electrical System for RWF April 17, 2012<br />
Pre-Purchase <strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> MV Switchgear van Zelm #2011107.00 261012 - 8
Delivery Requirements<br />
The successful vendor will be responsible for the delivery of commodities in first-class condition at the<br />
point of delivery and in accordance with good commercial practice.<br />
Prices<br />
Price will include all costs for freight and delivery of the equipment <strong>to</strong> the University of Connecticut, S<strong>to</strong>rrs,<br />
Connecticut, F.O.B. Destination. Vendors shall provide a base price for the dissection tables with the<br />
optional items listed separately.<br />
Payment Terms<br />
The University’s payment terms are 2% 15 days net 45 days. These terms will be honored unless stated<br />
otherwise on the Form of <strong>Bid</strong>. As an Agency of the State of Connecticut, the University is not authorized<br />
<strong>to</strong> issue any pre-payment, in whole or in part, for supplies or equipment.
Section III<br />
Terms and Conditions<br />
Please note:<br />
The language provided in Section IV, Terms and Conditions, has been established by the At<strong>to</strong>rney<br />
General’s office of the State of Connecticut. The University of Connecticut, as an agency of the State, must<br />
adhere <strong>to</strong> these terms and is not authorized <strong>to</strong> alter the language.<br />
Additionally, the University cannot accept a vendor’s standard terms and conditions as there may<br />
be conflicting language. Any standard quote document included in your response must be<br />
accompanied by a statement waiving any terms and conditions that are referenced.<br />
3.0 Taxes<br />
The University of Connecticut is exempt from Federal Excise taxes, and no payment will be made for any<br />
taxes levied on the vendor's employees' wages. The University is exempt from State and Local Sales and<br />
Use Taxes on the services and/or equipment supplied pursuant <strong>to</strong> this agreement.<br />
3.1 Additional Costs<br />
Costs associated with every aspect of labor, materials and service necessary <strong>to</strong> provide the equipment as<br />
specified herein must be included in the response. The University shall not be responsible for any costs<br />
incurred by the vendor that are not included in the response.<br />
3.2 Warranty<br />
The vendor shall unconditionally warrant all products as being free from defects and capable of performing<br />
when operated within the parameters specified in the manufacturer's specifications. Within one (1) year<br />
from final acceptance of products, the vendor shall correct all errors subsequently discovered in the design<br />
not due <strong>to</strong> the fault and negligence of the University and without charge <strong>to</strong> the University.<br />
3.3 Statu<strong>to</strong>ry/Regula<strong>to</strong>ry Compliance<br />
The vendor shall keep informed of, and shall provide all permits and comply with all applicable laws,<br />
ordinances, rules, regulations, and orders of the state and federal governments or public bodies having<br />
jurisdiction affecting any contract that may result from this <strong>Bid</strong>.<br />
3.4 Remedies Upon Default<br />
In any case where the vendor has failed <strong>to</strong> deliver or has delivered non-conforming goods or services, the<br />
University shall provide a "notice <strong>to</strong> cure". If after notice the vendor continues <strong>to</strong> be in default, the<br />
University may procure goods or services as substitution from another source and charge the cost<br />
difference <strong>to</strong> the defaulting vendor.<br />
3.5 Collection for Default<br />
The At<strong>to</strong>rney General shall be requested <strong>to</strong> make collection from any defaulting vendor pursuant <strong>to</strong> the<br />
preceding paragraph.<br />
3.6 Immunity from Liability<br />
Every person who is a party <strong>to</strong> this agreement is hereby notified and agrees that the University, and its<br />
agents, are immune from liability and suit for or from the vendor's activities involving third parties and<br />
arising from any contract, which may result from this solicitation.<br />
3.7 Indemnification
The Contrac<strong>to</strong>r shall indemnify and hold harmless the State of Connecticut, including any agency or official<br />
of the State of Connecticut from, and against all costs, claims, damages, or expenses, including reasonable<br />
at<strong>to</strong>rney’s fees, arising from its negligent acts or omissions in connection with the performance of any<br />
Contract resulting from this solicitation.<br />
3.8 Contract Termination for Cause<br />
The University may terminate any resulting contract for cause by providing a Notice <strong>to</strong> Cure <strong>to</strong> the contrac<strong>to</strong>r<br />
citing the instance of noncompliance with the contract. The contrac<strong>to</strong>r shall have ten (10) days <strong>to</strong> reply <strong>to</strong> the<br />
Notice <strong>to</strong> Cure and indicate why the contract should not be terminated and recommend remedies <strong>to</strong> be taken.<br />
3.8.1 If the contrac<strong>to</strong>r and the University reach an agreed upon solution, the contrac<strong>to</strong>r will then have thirty<br />
(30) days after such agreement is reached <strong>to</strong> cure the noncompliance cited in the Notice <strong>to</strong> Cure.<br />
3.8.2 If a mutually agreed upon solution cannot be reached within ten (10) days after receipt of the Notice <strong>to</strong><br />
Cure by the contrac<strong>to</strong>r, the University reserves the right <strong>to</strong> terminate the contract at that time by<br />
written notice of such termination.<br />
3.8.3 If the mutually agreed upon solution is not implemented within thirty (30) days from the date of<br />
agreement, the University reserves the right <strong>to</strong> terminate the contract at that time by written notice of<br />
such termination.<br />
3.8.4 The University will be obligated only for those goods or services rendered and accepted prior <strong>to</strong> the<br />
date of Notice of Termination.<br />
3.8.5 Remedies for Default: If the solution mutually agreed upon pursuant <strong>to</strong> subsection (a) of this<br />
Section is not implemented within the thirty (30) days provided in said subsection, the University<br />
may procure the subject goods or services from another source and charge any cost difference <strong>to</strong><br />
the Contrac<strong>to</strong>r.<br />
3.9 Contract Termination for Convenience:<br />
3.9.1 The University may terminate any resulting Contract in whole or in part whenever, for any reason,<br />
the University shall determine that such termination is in the best interest of the University and/or<br />
the State of Connecticut.<br />
3.9.2 If the Contract is terminated by the University pursuant <strong>to</strong> this section, the University will provide the<br />
Contrac<strong>to</strong>r sixty (60) days written notice of such intention. In the event of such termination, the<br />
Contract Administra<strong>to</strong>r and/or designee will notify the Contrac<strong>to</strong>r by certified mail, return receipt<br />
requested. Termination will be effective as of the close of business on the date specified in the<br />
notice.<br />
3.10 Non-Appropriation of Funds<br />
Notwithstanding any other provision of this bid or any ensuing contract, if funds anticipated for the<br />
continued fulfillment of the contract are at any time not forthcoming or insufficient, either through the<br />
failure of the Connecticut Legislature <strong>to</strong> provide funds or alteration of the program under which funds<br />
were provided, then the University shall have the right <strong>to</strong> terminate the contract without penalty by<br />
giving not less than thirty (30) days written notice documenting the lack of funding. Unless otherwise<br />
agreed <strong>to</strong>, the contract shall become null and void on the last day of the fiscal year for which<br />
appropriations were received; except that if an appropriation <strong>to</strong> cover the costs of this contract<br />
becomes available within sixty (60) days subsequent <strong>to</strong> termination under this clause, the University<br />
agrees <strong>to</strong> re-establish a contract with the firm whose contract was terminated under the same<br />
provisions, terms and conditions of the original contract.<br />
3.11 Assignment/Modification<br />
Neither party shall have the right <strong>to</strong> assign any Agreement without the written consent of the other party.<br />
Neither may this agreement be modified except by written instrument signed by both parties here<strong>to</strong>, upon<br />
thirty (30) days written notice <strong>to</strong> the other party.
3.12 Promotion<br />
Unless specifically authorized in writing by the University on a case by case basis, vendor shall have no right <strong>to</strong><br />
use, and shall not use, the name of The University of Connecticut, its officials or employees, or the Seal of the<br />
University: (a) in any advertising, publicity, promotion; nor (b) <strong>to</strong> express or <strong>to</strong> imply any endorsement of<br />
vendor's products or services; nor (c) <strong>to</strong> use the name of the state, its officials or employees or the University<br />
seal in any manner (whether or not similar <strong>to</strong> uses prohibited by subparagraphs (a) and (b) above), except only<br />
<strong>to</strong> manufacture and deliver in accordance with this agreement such items as are hereby contracted by the<br />
University.<br />
3.13 Campaign Contribution Restrictions<br />
For all State contracts as defined in Public Act 10-1 having a value in a calendar year of $50,000 or more or<br />
a combination or series of such agreements or contracts having a value of $100,000 or more, the<br />
authorized signa<strong>to</strong>ry <strong>to</strong> this Agreement expressly acknowledges receipt of the State Elections Enforcement<br />
Commission's notice advising state contrac<strong>to</strong>rs of state campaign contribution and solicitation prohibitions,<br />
and will inform its principals of the contents of the notice attached here<strong>to</strong> as Exhibit A.<br />
3.14 Ethics and Compliance Hotline<br />
In accordance with the University’s compliance program, the University has in place an anonymous ethics<br />
and compliance reporting hotline service – 1-888-685-2637. Any person who is aware of unethical<br />
practices, fraud, violation of state laws or regulations or other concerns relating <strong>to</strong> University policies and<br />
procedures can report such matters anonymously. Such persons may also directly contact the University’s<br />
compliance office at: Office of Audit, Compliance, and Ethics, 9 Walters Avenue, Unit 5084, S<strong>to</strong>rrs, CT<br />
06269-5084; Phone 860-486-4526; Fax 860-486-4527. As a provider of goods and/or services <strong>to</strong> the<br />
University, you are hereby required <strong>to</strong> notify your employees, as well as any subcontrac<strong>to</strong>rs, who are<br />
involved in the implementation of this contract, of this reporting mechanism.<br />
3.15 Ethical Considerations<br />
Respondent hereby certifies that: no elected or appointed official or employee or student of the University<br />
has benefited, or will benefit financially or materially from the proposed services. The University may<br />
terminate any contract resulting from this RFP, if it is determined that gratuities of any kind were either<br />
offered <strong>to</strong>, or received by, any University officer or employee contrary <strong>to</strong> this policy. The authorized<br />
signa<strong>to</strong>ry of a submitted proposal au<strong>to</strong>matically attests this <strong>to</strong> be true.<br />
The laws of the State of Connecticut provide it is a felony <strong>to</strong> offer, promise or give anything of value or<br />
benefit <strong>to</strong> a State employee with intent <strong>to</strong> influence that employee’s acts, opinion, judgment or exercise of<br />
discretion with respect <strong>to</strong> that employee’s duty. Evidence of violation of this statute will be turned over <strong>to</strong><br />
the proper prosecuting at<strong>to</strong>rney. See Code of Ethics in Connecticut General Statutes Section 1-79 through<br />
Section 1-90. Vendor agrees by signing any resultant contract <strong>to</strong> abide by all Connecticut and<br />
Federal ethics laws, current and future.<br />
3.16 Executive Orders<br />
The Contract is subject <strong>to</strong> the provisions of Executive Order No. Three of Governor Thomas J. Meskill,<br />
promulgated June 16, 1971, concerning labor employment practices, Executive Order No. Seventeen of<br />
Governor Thomas J. Meskill, promulgated February 15, 1973, concerning the listing of employment<br />
openings and Executive Order No. Sixteen of Governor John G. Rowland promulgated August 4, 1999,<br />
concerning violence in the workplace, all of which are incorporated in<strong>to</strong> and are made a part of the Contract<br />
as if they had been fully set forth in it. At the Contrac<strong>to</strong>r’s request, the Client Agency shall provide a copy of<br />
these orders <strong>to</strong> the Contrac<strong>to</strong>r. The Contract may also be subject <strong>to</strong> Executive Order No. 7C of Governor<br />
M. Jodi Rell, promulgated July 13, 2006, concerning contracting reforms and Executive Order No. 14 of<br />
Governor M. Jodi Rell, promulgated April 17, 2006, concerning procurement of cleaning products and<br />
services, in accordance with their respective terms and conditions.<br />
3.17 Connecticut General Statutes Sections 4a-60 and 4a-60a<br />
Non-discrimination. References in this section <strong>to</strong> "Contract" shall mean this Contract and references <strong>to</strong><br />
"Contrac<strong>to</strong>r" shall mean the Contrac<strong>to</strong>r.<br />
(a) For purposes of this Section, the following terms are defined as follows: (i) "Commission" means the<br />
Commission on Human Rights and Opportunities; (ii) "Contract" and “contract” include any extension or<br />
modification of the Contract or contract; (iii) "Contrac<strong>to</strong>r" and “contrac<strong>to</strong>r” include any successors or<br />
assigns of the Contrac<strong>to</strong>r or contrac<strong>to</strong>r; (iv) "Gender identity or expression" means a person's gender-
elated identity, appearance or behavior, whether or not that gender-related identity, appearance or<br />
behavior is different from that traditionally associated with the person's physiology or assigned sex at<br />
birth, which gender-related identity can be shown by providing evidence including, but not limited <strong>to</strong>,<br />
medical his<strong>to</strong>ry, care or treatment of the gender-related identity, consistent and uniform assertion of the<br />
gender-related identity or any other evidence that the gender-related identity is sincerely held, part of a<br />
person's core identity or not being asserted for an improper purpose; (v) “good faith" means that degree<br />
of diligence which a reasonable person would exercise in the performance of legal duties and<br />
obligations; (vi) "good faith efforts" shall include, but not be limited <strong>to</strong>, those reasonable initial efforts<br />
necessary <strong>to</strong> comply with statu<strong>to</strong>ry or regula<strong>to</strong>ry requirements and additional or substituted efforts when<br />
it is determined that such initial efforts will not be sufficient <strong>to</strong> comply with such requirements; (vii)<br />
"marital status" means being single, married as recognized by the State of Connecticut, widowed,<br />
separated or divorced; (viii) "mental disability" means one or more mental disorders, as defined in the<br />
most recent edition of the American Psychiatric Association's "Diagnostic and Statistical Manual of<br />
Mental Disorders", or a record of or regarding a person as having one or more such disorders; (ix)<br />
"minority business enterprise" means any small contrac<strong>to</strong>r or supplier of materials fifty-one percent or<br />
more of the capital s<strong>to</strong>ck, if any, or assets of which is owned by a person or persons: (1) who are active<br />
in the daily affairs of the enterprise, (2) who have the power <strong>to</strong> direct the management and policies of<br />
the enterprise, and (3) who are members of a minority, as such term is defined in subsection (a) of<br />
Connecticut General Statutes § 32-9n; and (x) "public works contract" means any agreement between<br />
any individual, firm or corporation and the State or any political subdivision of the State other than a<br />
municipality for construction, rehabilitation, conversion, extension, demolition or repair of a public<br />
building, highway or other changes or improvements in real property, or which is financed in whole or in<br />
part by the State, including, but not limited <strong>to</strong>, matching expenditures, grants, loans, insurance or<br />
guarantees.<br />
For purposes of this Section, the terms "Contract" and “contract” do not include a contract where each<br />
contrac<strong>to</strong>r is (1) a political subdivision of the state, including, but not limited <strong>to</strong>, a municipality, (2) a<br />
quasi-public agency, as defined in Conn. Gen. Stat. Section 1-120, (3) any other state, including but not<br />
limited <strong>to</strong> any federally recognized Indian tribal governments, as defined in Conn. Gen. Stat. Section 1-<br />
267, (4) the federal government, (5) a foreign government, or (6) an agency of a subdivision, agency,<br />
state or government described in the immediately preceding enumerated items (1), (2), (3), (4) or (5).<br />
(b) (1) The Contrac<strong>to</strong>r agrees and warrants that in the performance of the Contract such Contrac<strong>to</strong>r will not<br />
discriminate or permit discrimination against any person or group of persons on the grounds of race,<br />
color, religious creed, age, marital status, national origin, ancestry, sex, gender identity or expression,<br />
mental retardation, mental disability or physical disability, including, but not limited <strong>to</strong>, blindness, unless<br />
it is shown by such Contrac<strong>to</strong>r that such disability prevents performance of the work involved, in any<br />
manner prohibited by the laws of the United States or of the State of Connecticut; and the Contrac<strong>to</strong>r<br />
further agrees <strong>to</strong> take affirmative action <strong>to</strong> insure that applicants with job-related qualifications are<br />
employed and that employees are treated when employed without regard <strong>to</strong> their race, color, religious<br />
creed, age, marital status, national origin, ancestry, sex, gender identity or expression, mental<br />
retardation, mental disability or physical disability, including, but not limited <strong>to</strong>, blindness, unless it is<br />
shown by the Contrac<strong>to</strong>r that such disability prevents performance of the work involved; (2) the<br />
Contrac<strong>to</strong>r agrees, in all solicitations or advertisements for employees placed by or on behalf of the<br />
Contrac<strong>to</strong>r, <strong>to</strong> state that it is an "affirmative action-equal opportunity employer" in accordance with<br />
regulations adopted by the Commission; (3) the Contrac<strong>to</strong>r agrees <strong>to</strong> provide each labor union or<br />
representative of workers with which the Contrac<strong>to</strong>r has a collective bargaining Agreement or other<br />
contract or understanding and each vendor with which the Contrac<strong>to</strong>r has a contract or understanding,<br />
a notice <strong>to</strong> be provided by the Commission, advising the labor union or workers’ representative of the<br />
Contrac<strong>to</strong>r's commitments under this section and <strong>to</strong> post copies of the notice in conspicuous places<br />
available <strong>to</strong> employees and applicants for employment; (4) the Contrac<strong>to</strong>r agrees <strong>to</strong> comply with each<br />
provision of this Section and Connecticut General Statutes §§ 46a-68e and 46a-68f and with each<br />
regulation or relevant order issued by said Commission pursuant <strong>to</strong> Connecticut General Statutes<br />
§§ 46a-56, 46a-68e and 46a-68f; and (5) the Contrac<strong>to</strong>r agrees <strong>to</strong> provide the Commission on Human<br />
Rights and Opportunities with such information requested by the Commission, and permit access <strong>to</strong><br />
pertinent books, records and accounts, concerning the employment practices and procedures of the<br />
Contrac<strong>to</strong>r as relate <strong>to</strong> the provisions of this Section and Connecticut General Statutes § 46a-56. If the<br />
contract is a public works contract, the Contrac<strong>to</strong>r agrees and warrants that he will make good faith<br />
efforts <strong>to</strong> employ minority business enterprises as subcontrac<strong>to</strong>rs and suppliers of materials on such<br />
public works projects.
(c) Determination of the Contrac<strong>to</strong>r's good faith efforts shall include, but shall not be limited <strong>to</strong>, the following<br />
fac<strong>to</strong>rs: The Contrac<strong>to</strong>r's employment and subcontracting policies, patterns and practices; affirmative<br />
advertising, recruitment and training; technical assistance activities and such other reasonable activities<br />
or efforts as the Commission may prescribe that are designed <strong>to</strong> ensure the participation of minority<br />
business enterprises in public works projects.<br />
(d) The Contrac<strong>to</strong>r shall develop and maintain adequate documentation, in a manner prescribed by the<br />
Commission, of its good faith efforts.<br />
(e) The Contrac<strong>to</strong>r shall include the provisions of subsection (b) of this Section in every subcontract or<br />
purchase order entered in<strong>to</strong> in order <strong>to</strong> fulfill any obligation of a contract with the State and such<br />
provisions shall be binding on a subcontrac<strong>to</strong>r, vendor or manufacturer unless exempted by regulations<br />
or orders of the Commission. The Contrac<strong>to</strong>r shall take such action with respect <strong>to</strong> any such<br />
subcontract or purchase order as the Commission may direct as a means of enforcing such provisions<br />
including sanctions for noncompliance in accordance with Connecticut General Statutes §46a-56;<br />
provided if such Contrac<strong>to</strong>r becomes involved in, or is threatened with, litigation with a subcontrac<strong>to</strong>r or<br />
vendor as a result of such direction by the Commission, the Contrac<strong>to</strong>r may request the State of<br />
Connecticut <strong>to</strong> enter in<strong>to</strong> any such litigation or negotiation prior there<strong>to</strong> <strong>to</strong> protect the interests of the<br />
State and the State may so enter.<br />
(f) The Contrac<strong>to</strong>r agrees <strong>to</strong> comply with the regulations referred <strong>to</strong> in this Section as they exist on the<br />
date of this Contract and as they may be adopted or amended from time <strong>to</strong> time during the term of this<br />
Contract and any amendments there<strong>to</strong>.<br />
(g) (1) The Contrac<strong>to</strong>r agrees and warrants that in the performance of the Contract such Contrac<strong>to</strong>r will not<br />
discriminate or permit discrimination against any person or group of persons on the grounds of sexual<br />
orientation, in any manner prohibited by the laws of the United States or the State of Connecticut, and<br />
that employees are treated when employed without regard <strong>to</strong> their sexual orientation; (2) the Contrac<strong>to</strong>r<br />
agrees <strong>to</strong> provide each labor union or representative of workers with which such Contrac<strong>to</strong>r has a<br />
collective bargaining Agreement or other contract or understanding and each vendor with which such<br />
Contrac<strong>to</strong>r has a contract or understanding, a notice <strong>to</strong> be provided by the Commission on Human<br />
Rights and Opportunities advising the labor union or workers' representative of the Contrac<strong>to</strong>r's<br />
commitments under this section, and <strong>to</strong> post copies of the notice in conspicuous places available <strong>to</strong><br />
employees and applicants for employment; (3) the Contrac<strong>to</strong>r agrees <strong>to</strong> comply with each provision of<br />
this section and with each regulation or relevant order issued by said Commission pursuant <strong>to</strong><br />
Connecticut General Statutes § 46a-56; and (4) the Contrac<strong>to</strong>r agrees <strong>to</strong> provide the Commission on<br />
Human Rights and Opportunities with such information requested by the Commission, and permit<br />
access <strong>to</strong> pertinent books, records and accounts, concerning the employment practices and procedures<br />
of the Contrac<strong>to</strong>r which relate <strong>to</strong> the provisions of this Section and Connecticut General Statutes § 46a-<br />
56.<br />
(h) The Contrac<strong>to</strong>r shall include the provisions of the foregoing paragraph in every subcontract or purchase<br />
order entered in<strong>to</strong> in order <strong>to</strong> fulfill any obligation of a contract with the State and such provisions shall<br />
be binding on a subcontrac<strong>to</strong>r, vendor or manufacturer unless exempted by regulations or orders of the<br />
Commission. The Contrac<strong>to</strong>r shall take such action with respect <strong>to</strong> any such subcontract or purchase<br />
order as the Commission may direct as a means of enforcing such provisions including sanctions for<br />
noncompliance in accordance with Connecticut General Statutes § 46a-56; provided, if such Contrac<strong>to</strong>r<br />
becomes involved in, or is threatened with, litigation with a subcontrac<strong>to</strong>r or vendor as a result of such<br />
direction by the Commission, the Contrac<strong>to</strong>r may request the State of Connecticut <strong>to</strong> enter in<strong>to</strong> any<br />
such litigation or negotiation prior there<strong>to</strong> <strong>to</strong> protect the interests of the State and the State may so<br />
enter.<br />
3.18 Disqualification<br />
The University reserves the right <strong>to</strong> consider as acceptable only those responses submitted in accordance<br />
with all of the requirements set for herein, and which demonstrate an understanding of the scope of the<br />
work. Note: Any response offering any terms and conditions other than those included in this<br />
document may be disqualified without further notice.
A respondent may be disqualified and their response au<strong>to</strong>matically rejected for any one or more of the<br />
following reasons:<br />
<br />
<br />
<br />
<br />
The proposal shows any non-compliance with applicable law.<br />
The proposal is conditional, incomplete, or irregular in such a way as <strong>to</strong> make the proposal<br />
indefinite or ambiguous as <strong>to</strong> its meaning<br />
The proposal has any provision(s) reserving the right <strong>to</strong> accept or reject award, or <strong>to</strong> enter in<strong>to</strong> a<br />
contract pursuant <strong>to</strong> an award, or provisions contrary <strong>to</strong> those required in the solicitation.<br />
The respondent is debarred or suspended
Section IV<br />
Submittal of <strong>Bid</strong>s<br />
4.0 Qualification of <strong>Bid</strong>ders<br />
4.0.1 Offers will be considered from firms with a demonstrated his<strong>to</strong>ry of successfully providing similar<br />
goods and/or services <strong>to</strong> other institutions of higher education or private sec<strong>to</strong>r corporations with<br />
similar volumes and needs.<br />
4.0.2 Firms must be prepared <strong>to</strong> provide any evidence of experience, performance and/or financial<br />
surety that the University deems necessary <strong>to</strong> fully establish the performance capabilities<br />
represented in the firm's offer.<br />
4.0.3 The University will reject any offer and void any award resulting from this solicitation <strong>to</strong> a firm<br />
who makes any material misrepresentation in their submittal.<br />
4.1 Each firm, by submitting an offer, represents that the firm has:<br />
4.1.1 Read and completely understands the documents and attachments there<strong>to</strong>.<br />
4.1.2 Is familiar with the conditions under which goods and/or services are <strong>to</strong> be provided, including<br />
availability and cost of goods, labor, and shipping and inside delivery <strong>to</strong> the location specified.<br />
4.1.3 Understands and agrees that all offers must conform <strong>to</strong> the instructions and conditions contained<br />
herein <strong>to</strong> receive consideration.<br />
4.2 Form of <strong>Bid</strong><br />
Respondents must complete all sections of the Form of <strong>Bid</strong>. Pricing shall be provided in accordance with<br />
Paragraph 2.0 of the bid. Please note that the spaces provided for acknowledgement of addenda may<br />
be left blank if no addenda are issued.<br />
4.3 Information Requirement<br />
Firms shall provide all documentation specified in Section I, including, but not limited <strong>to</strong>, equipment<br />
specifications, options, warranty information and exceptions.<br />
4.4 Point-by-Point Response<br />
Provide a complete point-by-point response <strong>to</strong> all specifications, terms and conditions. A checklist has been<br />
provided noting each numbered paragraph in this document with spaces <strong>to</strong> acknowledge acceptance or <strong>to</strong><br />
take exception.<br />
4.5 Exceptions<br />
The vendor shall clearly state, in the response, any exceptions <strong>to</strong>, or deviations from, these specifications,<br />
terms or conditions; otherwise, the vendor will be held responsible for compliance with all requirements<br />
listed herein.<br />
<strong>Bid</strong>ders shall provide a separate, itemized list of any and all exceptions. Such list must be cross-referenced<br />
<strong>to</strong> the corresponding numbered item in this document.
4.6 <strong>Bid</strong>der’s Qualification Statement / References<br />
Complete the <strong>Bid</strong>der’s Qualification Statement including a minimum of three (3) references of institutions<br />
that have recently purchased products of the type being offered. At a minimum, the cus<strong>to</strong>mer's name, the<br />
name of a contact person, an e-mail address and a telephone number shall be provided.<br />
The University shall make such investigations as deemed necessary <strong>to</strong> determine a vendor's ability <strong>to</strong> provide<br />
the specified goods and/or services and <strong>to</strong> perform the installation in an expeditious and workmanlike<br />
manner. The University reserves the right <strong>to</strong> reject any bid if the evidence submitted by, or investigation of,<br />
such vendor fails <strong>to</strong> satisfy the University that said vendor is properly qualified <strong>to</strong> carry out the obligations of<br />
the contract.<br />
4.7 <strong>Bid</strong>ders Contract Compliance Moni<strong>to</strong>ring Report<br />
Respondents are required <strong>to</strong> submit the completed 2-page form for the State of Connecticut regardless of<br />
their location.<br />
4.8 Non-discrimination Certification<br />
The Office of the At<strong>to</strong>rney General has approved the attached nondiscrimination certification form <strong>to</strong><br />
assist executive branch agencies in complying with the State of Connecticut's contracting requirements,<br />
pursuant <strong>to</strong> the Connecticut General Statutes § 4a-60(a)(1) and § 4a-60a(a)(1), as amended by Public Act<br />
07-245 and Sections 9 and 10 of Public Act 07-142.<br />
By law, a contrac<strong>to</strong>r must provide the State with documentation in the form of a company or corporate<br />
policy adopted by resolution of the board of direc<strong>to</strong>rs, shareholders, managers, members or other<br />
governing body of such contrac<strong>to</strong>r <strong>to</strong> support the nondiscrimination agreement and warranty under C.G.S.<br />
§§ 4a-60a and 46a-68h.<br />
Please refer <strong>to</strong>: http://www.ct.gov/opm/cwp/view.asp?a=2982&Q=390928 for more information.<br />
4.9 Multiple Offers<br />
The University is seeking offers that meet its requirements as outlined in this solicitation. If more than<br />
one method of meeting these requirements is proposed, each should be labeled "primary", "secondary",<br />
etc. and submitted separately.<br />
4.10 Submittal of <strong>Bid</strong>s<br />
Offers shall be submitted as follows:<br />
4.10.1 An original and one (1) complete copy of the bid must be submitted <strong>to</strong>:<br />
The University of Connecticut<br />
Procurement Services<br />
Attn: Lisa Mieszkowicz<br />
3 North Hillside Road, Unit-6047<br />
S<strong>to</strong>rrs, CT 06269-6076<br />
no later than 2:00 P.M. (EST), on May 22, 2012. Offers must be submitted in a sealed parcel and<br />
be identified with the name and address of the firm and the designation “BID - <strong>#901229B</strong>”.
4.10.2 The complete response <strong>to</strong> this solicitation shall include the following documentation:<br />
4.10.2.1 Form of <strong>Bid</strong><br />
4.10.2.2 Information as specified (complete specification of equipment offered, installation<br />
requirements, if applicable, warranty information)<br />
4.10.2.3 Point-by-point response<br />
4.10.2.4 List of exceptions <strong>to</strong> specifications or terms & conditions (if any)<br />
4.10.2.5 <strong>Bid</strong>der’s Qualification Statement<br />
4.10.2.6 <strong>Bid</strong>der Contract Compliance Moni<strong>to</strong>ring Report<br />
4.10.2.7 Non-discrimination Certificate<br />
4.10.3 Each firm shall be solely responsible for the delivery of their response <strong>to</strong> the University at the<br />
place and before the time as specified. No oral, telephonic or telegraphic responses will be<br />
accepted. If a response is sent by mail, allowance should be made for the time required for such<br />
transmission. The officer whose duty it is <strong>to</strong> open the responses shall decide when the specified<br />
time has arrived and no response received thereafter will be considered. Any response received<br />
after the time specified for the receipt of Responses shall not be considered and shall be returned<br />
unopened.<br />
4.11 Incomplete Packages<br />
Failure <strong>to</strong> provide all information requested in the bid shall be cause <strong>to</strong> reject a bid as non-compliant.<br />
4.12 Ownership<br />
Unless otherwise noted elsewhere in this document, all materials submitted in response <strong>to</strong> this solicitation<br />
shall become the property of the University of Connecticut upon delivery and are <strong>to</strong> be appended <strong>to</strong> any<br />
formal documentation that would further define or expand the contractual relationship of the University<br />
and the successful firm.<br />
The laws of the State of Connecticut require that the contents of all bids be placed in the public domain<br />
and be opened <strong>to</strong> inspection <strong>to</strong> interested contained in all responses received; however, respondents<br />
should be aware that all materials associated with this solicitation or resulting contract are subject <strong>to</strong> the<br />
terms of the Freedom of Information Act, the Privacy Act, and all rules, regulations and interpretations<br />
resulting therefrom.
Section V<br />
Award<br />
5.0 Formation of Agreement<br />
Award will be based on the lowest overall cost <strong>to</strong> the University. The costs shall be determined after<br />
considering the pricing offered, delivery, transportation, insurance and any associated administrative fees.<br />
The selected firm shall enter in<strong>to</strong> a contract with the University by acceptance of a purchase order<br />
referencing the response <strong>to</strong> this bid. The purchase order, when duly executed, will represent the entire<br />
agreement between the parties.<br />
5.1 Minor Technicalities<br />
The University reserves the right <strong>to</strong> reject any or all quotations submitted for consideration in whole or in<br />
part, and <strong>to</strong> waive minor technicalities, irregularities, or omissions, if, in its judgment, the best interest of<br />
the University will be served.<br />
5.2 Non-acceptance<br />
Non-acceptance of an offer shall mean that another offer was deemed more advantageous <strong>to</strong> the<br />
University, or that all offers were rejected.<br />
5.3 Modification or Withdrawl of <strong>Bid</strong> Will be Executed as Follows:<br />
5.3.1 An offer shall not be modified, withdrawn or canceled by the bidder for a sixty (60) day period<br />
following the time and date assigned for the receipt of quotes and the bidder so agrees in<br />
submitting a quote.<br />
5.3.2 Prior <strong>to</strong> the time and date assigned for receipt, bids submitted early shall be modified or<br />
withdrawn only by written notice <strong>to</strong> the University. Such notice shall be received by the University<br />
prior <strong>to</strong> the designated date and time for receipt of bids. Withdrawn bids may be submitted up <strong>to</strong><br />
the time designated for receipt of bids provided they are then fully in conformance with these<br />
terms and conditions.<br />
5.4 Obligations<br />
The contents of the bid and any clarification there<strong>to</strong> submitted by the successful bidder shall become a<br />
part of the contractual obligation incorporated by reference in<strong>to</strong> the ensuing purchase order.
Section VI<br />
Campus Information<br />
6.0 Vehicles on Campus<br />
To safeguard the students, faculty and staff, as well as <strong>to</strong> maintain the aesthetic beauty of the University,<br />
vendors must take note of the following rules and considerations that must be followed when making<br />
deliveries or service calls on campus:<br />
<br />
<br />
<br />
Driving speeds on campus must be kept at a maximum of 25 mph <strong>to</strong> ensure safety. The maximum<br />
speed in all parking lots is 10MPH. These limits are in effect 24 hours per day Pediestrians have the<br />
right of way at all times.<br />
All traffic signs, lights or other indica<strong>to</strong>rs are <strong>to</strong> be obeyed. This is of utmost importance given the ongoing<br />
construction/renovation projects and pedestrians on campus.<br />
Driving on sidewalks, unless otherwise posted, is prohibited. Viola<strong>to</strong>rs will be ticked and chronic<br />
viola<strong>to</strong>rs may be barred from doing business with the University. In those areas where sidewalk<br />
driving is permitted and required, drivers must employ adequate skills so as <strong>to</strong> avoid driving on<br />
adjacent green spaces.<br />
It is preferable that deliveries <strong>to</strong> any facility loading dock be made utilizing a maximum sized 24’, 6-<br />
wheel saddle truck. To facilitate other deliveries, it is imperative delivery trucks have the capability <strong>to</strong><br />
off load large quantities (pallets) in short periods of time.<br />
6.1 Parking Information and Guidelines:<br />
The following rules and regulations provide guidance and information when bringing a vehicle on<strong>to</strong> the<br />
University of CT S<strong>to</strong>rrs Campus. These policies follow Connecticut State Statute 10A-139 and are intended <strong>to</strong><br />
provide control and availability of campus parking. All students, employees, vendors, visi<strong>to</strong>rs, contrac<strong>to</strong>rs,<br />
etc., who park a mo<strong>to</strong>r vehicle on campus are subject <strong>to</strong> these rules and regulations.<br />
<br />
<br />
<br />
<br />
It is the responsibility of all individuals operating a mo<strong>to</strong>r vehicle on campus <strong>to</strong> be aware of and<br />
abide by the parking policies contained in this literature. Operating a vehicle on campus is deemed<br />
evidence of the vehicle opera<strong>to</strong>r's acceptance and understanding of these policies.<br />
Parking on the S<strong>to</strong>rrs campus is strictly regulated and is allowed only in paved, lined areas. Parking<br />
on lawns, grounds, or sidewalks is strictly prohibited. Parking during the hours of 7AM and 5PM,<br />
Monday through Friday is by permit only. Some areas are restricted beginning at 5AM or for 24<br />
hours (as posted). Viola<strong>to</strong>rs will be ticketed and are subject <strong>to</strong> <strong>to</strong>wing.<br />
Parking in the North and South Garage is available for vehicles for a daily fee. There is no overnight<br />
parking available in the garages.<br />
Parking on campus is in high demand. Anyone who can avoid bringing a vehicle <strong>to</strong> campus should<br />
do so. The use of carpools and public transportation is encouraged. A shuttle service is operated <strong>to</strong><br />
serve the University of Connecticut at S<strong>to</strong>rrs and surrounding areas. This shuttle is free <strong>to</strong> UConn<br />
students, employees, and visi<strong>to</strong>rs. For information on shuttle services and schedules, call<br />
Transportation at (860) 486-1448.
Visi<strong>to</strong>r Parking<br />
It is the responsibility of the host/hostess <strong>to</strong> inform guests of the University's parking regulations.<br />
Visi<strong>to</strong>rs <strong>to</strong> campus are directed <strong>to</strong> park in either the metered areas (not <strong>to</strong> exceed 45 minutes) or a<br />
parking garage. For information about parking garage rates and hours call (860) 486-6267 for the<br />
North Garage or call (860) 486-9088 for the South Garage<br />
.<br />
Load Zones<br />
Load zones are restricted <strong>to</strong> loading and unloading of materials and are limited <strong>to</strong> 15 minutes 24<br />
hours per day, unless otherwise posted. Four-way flashers must be left on <strong>to</strong> indicate loading. Notes<br />
left on vehicles will not be accepted. Vehicles cannot be parked in load zones overnight or on<br />
weekends.<br />
6.2 Accommodations<br />
In support of this bid opportunity and <strong>to</strong> assist with any business related accommodation needs, the University<br />
recommends that all overnight visi<strong>to</strong>rs stay on campus at the Nathan Hale Inn. Parking is available at the Inn<br />
during your stay and includes complimentary access <strong>to</strong> the campus shuttle. The Nathan Hale Inn can offer<br />
preferred rates <strong>to</strong> long term and project stays.<br />
Please contact the sales office directly at the Inn (860-427-7888) or you can view their website at<br />
www.nathanhaleinn.com.
Cover Page for Submittal<br />
University of Connecticut<br />
<strong>Bid</strong> <strong>#901229B</strong><br />
<strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> <strong>Medium</strong> <strong>Voltage</strong> Switchgear<br />
Due: May 22, 2012<br />
(Vendor Name)<br />
The following documentation is attached here<strong>to</strong> as part of this submittal:<br />
Form of <strong>Bid</strong><br />
Information Required<br />
Equipment Specifications<br />
Warranty Info<br />
Point-by-point response<br />
List of exceptions <strong>to</strong> specifications or terms & conditions (if any)<br />
<strong>Bid</strong>ders Qualification Statement<br />
<strong>Bid</strong>der Contract Compliance Moni<strong>to</strong>ring Report<br />
Non-discrimination Certificate
Form of <strong>Bid</strong><br />
<strong>Bid</strong> <strong>#901229B</strong><br />
<strong>Outdoor</strong> <strong>Pad</strong>-<strong>Mounted</strong> <strong>Medium</strong> <strong>Voltage</strong> Switchgear<br />
To: The University of Connecticut May 22, 2012<br />
Purchasing Department<br />
3 North Hillside Road, Unit 6076<br />
S<strong>to</strong>rrs, CT 06269-6076<br />
1. The undersigned firm, in response <strong>to</strong> the above referenced <strong>Bid</strong>, having examined the Request for Quotation, hereby<br />
proposes <strong>to</strong> furnish and deliver four Ventilated Dissection Tables, in accordance with the specifications attached<br />
here<strong>to</strong>.<br />
<strong>Bid</strong>der acknowledges receipt of the following addenda that are a part of the bidding documents:<br />
#1________________ #2 ________________ #3_______________<br />
date date date<br />
2. <strong>Bid</strong>der understands that the University reserves the right <strong>to</strong> reject any and all bids, waive irregularities or<br />
technicalities in any bid, and accept any bid in whole or in part which it deems <strong>to</strong> be in its best interest.<br />
3. <strong>Bid</strong>der agrees that this bid shall be good and may not be withdrawn for a period of sixty (60) calendar days after the<br />
public opening and reading of the bids.<br />
4. <strong>Bid</strong>der hereby certifies that: (a) this bid is genuine and is not made in the interest of or on behalf of any undisclosed<br />
person, firm or corporation; (b) the bidder has not directly or indirectly induced or solicited any other bidder <strong>to</strong> put in<br />
a false or sham bid; (c) the bidder has not solicited or induced any person, firm or corporation <strong>to</strong> refrain from bidding;<br />
and (d) the bidder has not sought by collusion <strong>to</strong> obtain any advantage over any other bidder or over the University.<br />
5. Price for equipment – per attached specifications, including all costs of freight and delivery <strong>to</strong> the University of<br />
Connecticut, S<strong>to</strong>rrs, CT, F.O.B. Destination:<br />
Primary Switch Label S&C Model Manual or Source Transfer PRICE<br />
Switch #42 PMH-9 Master Unit<br />
Switch #43 PMH-12 Companion Unit<br />
Switch #44 PMH-3 Manual<br />
TOTAL<br />
6. Payment Terms: _____________ Pricing is valid for days Delivery ______ days ARO.<br />
7. This firm is a: ____ Corporation ____ Partnership ____ Sole Proprie<strong>to</strong>rship ____ Joint Venture ____ Other<br />
8. This firm is Certified by the State of Connecticut as: ____ WBE ____ MBE ____ Set Aside<br />
Signed this day of , 20_____<br />
Firm Name:<br />
Address:<br />
F.E.I.N. or Soc. Sec. #:
Telephone #: Fax #:<br />
Email Address:<br />
Authorized Signature<br />
Print Name/Title:
Point‐by‐Point Response Sheet<br />
RFQ <strong>#901229B</strong><br />
The following table provides a list of all of the paragraphs in the solicitation. Check the appropriate<br />
response for each item. Attach a separate sheet clarifying all exceptions.<br />
Comply/Agree Exception Comply/Agree Exception<br />
Section I<br />
1.0<br />
1.1 1.4<br />
1.2 1.4.1<br />
1.3 1.4.2<br />
1.3.1 1.4.3<br />
1.3.2<br />
1.5<br />
1.6<br />
Section II<br />
Part I<br />
Part II<br />
Part III<br />
Section III<br />
3.0 3.9<br />
3.1 3.9.1<br />
3.2 3.9.2<br />
3.3<br />
3.4 3.10<br />
3.5 3.11<br />
3.6 3.12<br />
3.7 3.13<br />
3.8 3.14<br />
3.8.1 3.15<br />
3.8.2 3.16<br />
3.8.3 3.17<br />
3.8.4 3.18<br />
3.8.5<br />
Comply/Agree Exception Comply/Agree Exception<br />
Section IV<br />
4.0 4.6<br />
4.0.1 4.7<br />
4.0.2 4.8
Point‐by‐Point Response Sheet<br />
RFQ <strong>#901229B</strong><br />
4.0.3 4.9<br />
4.1 4.10<br />
4.1.1 4.10.1<br />
4.1.2 4.10.2<br />
4.1.3 4.10.3<br />
4.2<br />
4.3 4.11<br />
4.4 4.12<br />
4.5<br />
Section V<br />
5.0<br />
5.1<br />
5.2<br />
5.3<br />
5.3.1<br />
5.3.2<br />
5.4<br />
Section VI<br />
6.0<br />
6.1<br />
6.2
BIDDER'S QUALIFICATION STATEMENT<br />
All bidders are required <strong>to</strong> file this form, properly completed, WITH THEIR BID RESPONSE. Failure of a bidder <strong>to</strong><br />
answer any question or provide required information may be grounds for the awarding authority <strong>to</strong> disqualify and reject<br />
their bid. If a question or request for information does not pertain <strong>to</strong> your organization in any way, use the symbol<br />
"NA" (Not Applicable). Use additional 8 1/2" x 11" sheets with your letterhead as necessary.<br />
1. Indicate exactly the name by which this organization is known:<br />
Name .<br />
2. How many years has this organization been in business under its present business name?<br />
Years? .<br />
3. Indicate all other names by which this organization has been known and the length of time known by each name:<br />
1.<br />
2. _____________________________<br />
3. _____________________________<br />
4. What is the primary commodity/service provided by this business? How many years has this organization been<br />
in business providing this commodity/service?<br />
Commodity/Service<br />
____________________________<br />
Years?<br />
5. This firm is a: Corporation Partnership _________Sole Proprie<strong>to</strong>rship<br />
Joint Venture<br />
Other<br />
_______Women Owned _______Minority Business ________Set Aside Contrac<strong>to</strong>r<br />
6. Provide names all supervisory personnel, such as Principals, Supervisors, and Sales Representatives, who will be<br />
directly involved with the contract on which you are now a bidder. Indicate the number of years of experience<br />
and number of years of which they have been in a Supervisory capacity.<br />
Name Years Years/supervisor Telephone/Fax #'s<br />
____________________ ______ ______ ______________<br />
______________<br />
____________________ ______ ______ ______________<br />
______________
7. Trade References: Names, addresses and telephone numbers of several firms with whom your organization has<br />
regular business dealings:<br />
_________________________________________________________<br />
_________________________________________________________<br />
_________________________________________________________<br />
(Attach additional sheet if necessary)<br />
8. References: List at least three (3) references for contracts of similar size and scope, including a brief description<br />
of the work performed, the location, the name and telephone number of a contact person familiar with the<br />
contract. Current contracts are preferred, but recently completed contracts which were performed satisfac<strong>to</strong>rily<br />
will be accepted.<br />
Name & Address Term Amount Contact Person Telephone #<br />
_____________________ ________ ________ ________________ __________<br />
_____________________<br />
_____________________ Email Address:_____________________________<br />
_____________________ ________ ________ ________________ __________<br />
_____________________<br />
_____________________ Email Address:_____________________________<br />
_____________________ ________ ________ ________________ __________<br />
_____________________<br />
_____________________ Email Address:_____________________________<br />
9. Has your organization ever failed <strong>to</strong> complete a contract, or has any officer or partner of your organization ever<br />
been an officer or partner of another organization that failed <strong>to</strong> complete a contract? If so, indicate the<br />
circumstances leading <strong>to</strong> the project failure and the name of the company which provided the bonding for the<br />
failed contract(s):<br />
_____________________________________________________<br />
10. List all legal or administrative proceedings currently pending or concluded adversely within the last five years<br />
which relate <strong>to</strong> procurement or performance of any public or private service/maintenance contracts.<br />
1. Attached 2. N/A<br />
Dated at _________________________________________________________________________<br />
this ____________________ day of _________________________ 20 ________
Name of Organization:<br />
Address:<br />
___________________________________________<br />
FEIN # _______________________<br />
___________________________________________<br />
Telephone: _____________________ Fax: _______________________<br />
Signature<br />
(Print Name)<br />
Title<br />
_____________________________<br />
_____________________________<br />
_____________________________
COMMISSION ON HUMAN RIGHTS AND OPPORTUNITIES<br />
CONTRACT COMPLIANCE REGULATIONS<br />
NOTIFICATION TO BIDDERS<br />
The contract <strong>to</strong> be awarded is subject <strong>to</strong> contract compliance requirements mandated by Sections 4a-60 and 4a-<br />
60a of the Connecticut General Statutes; and, when the awarding agency is the State, Sections 46a-71(d) and<br />
46a-81i(d) of the Connecticut General Statutes. There are Contract Compliance Regulations codified at Section<br />
46a-68j-21 through 43 of the Regulations of Connecticut State Agencies, which establish a procedure for<br />
awarding all contracts covered by Sections 4a-60 and 46a-71(d) of the Connecticut General Statutes.<br />
According <strong>to</strong> Section 46a-68j-30(9) of the Contract Compliance Regulations, every agency awarding a contract<br />
subject <strong>to</strong> the contract compliance requirements has an obligation <strong>to</strong> “aggressively solicit the participation of<br />
legitimate minority business enterprises as bidders, contrac<strong>to</strong>rs, subcontrac<strong>to</strong>rs and suppliers of materials.”<br />
“Minority business enterprise” is defined in Section 4a-60 of the Connecticut General Statutes as a business<br />
wherein fifty-one percent or more of the capital s<strong>to</strong>ck, or assets belong <strong>to</strong> a person or persons: “(1) Who are<br />
active in daily affairs of the enterprise; (2) who have the power <strong>to</strong> direct the management and policies of the<br />
enterprise; and (3) who are members of a minority, as such term is defined in subsection (a) of Section 32-9n.”<br />
“Minority” groups are defined in Section 32-9n of the Connecticut General Statutes as “(1) Black Americans . . .<br />
(2) Hispanic Americans . . . (3) persons who have origins in the Iberian Peninsula . . . (4)Women . . . (5) Asian<br />
Pacific Americans and Pacific Islanders; (6) American Indians . . .” An individual with a disability is also a<br />
minority business enterprise as provided by Section 4a-60g of the Connecticut General Statutes. The above<br />
definitions apply <strong>to</strong> the contract compliance requirements by virtue of Section 46a-68j-21(11) of the Contract<br />
Compliance Regulations.<br />
The awarding agency will consider the following fac<strong>to</strong>rs when reviewing the bidder’s qualifications under the<br />
contract compliance requirements:<br />
(a) the bidder’s success in implementing an affirmative action plan;<br />
(b) the bidder’s success in developing an apprenticeship program complying with Sections 46a-68-1 <strong>to</strong><br />
46a-68-17 of the Administrative Regulations of Connecticut State Agencies, inclusive;<br />
(c) the bidder’s promise <strong>to</strong> develop and implement a successful affirmative action plan;<br />
(d) the bidder’s submission of employment statistics contained in the “Employment Information Form”,<br />
indicating that the composition of its workforce is at or near parity when compared <strong>to</strong> the racial and<br />
sexual composition of the workforce in the relevant labor market area; and<br />
(e) the bidder’s promise <strong>to</strong> set aside a portion of the contract for legitimate minority<br />
business enterprises. See Section 46a-68j-30(10)(E) of the Contract Compliance Regulations.<br />
__________________________________________________________<br />
INSTRUCTIONS AND OTHER INFORMATION<br />
The following BIDDER CONTRACT COMPLIANCE MONITORING REPORT must be completed in full, signed,<br />
and submitted with the bid for this contract. The contract awarding agency and the Commission on Human<br />
Rights and Opportunities will use the information contained thereon <strong>to</strong> determine the bidders compliance <strong>to</strong><br />
Sections 4a-60 and 4a- 60a CONN. GEN. STAT., and Sections 46a-68j-23 of the Regulations of Connecticut<br />
State Agencies regarding equal employment opportunity, and the bidders good faith efforts <strong>to</strong> include minority<br />
business enterprises as subcontrac<strong>to</strong>rs and suppliers for the work of the contract.<br />
1) Definition of Small Contrac<strong>to</strong>r<br />
Section 4a-60g CONN. GEN. STAT. defines a small contrac<strong>to</strong>r as a company that has been doing business<br />
under the same management and control and has maintained its principal place of business in Connecticut for a<br />
one year period immediately prior <strong>to</strong> its application for certification under this section, had gross revenues not<br />
exceeding ten million dollars in the most recently completed fiscal year, and at least fifty-one percent of the<br />
ownership of which is held by a person or persons who are active in the daily affairs of the company, and have<br />
the power <strong>to</strong> direct the management and policies of the company, except that a nonprofit corporation shall be<br />
construed <strong>to</strong> be a small contrac<strong>to</strong>r if such nonprofit corporation meets the requirements of subparagraphs (A)<br />
and (B) of subdivision 4a-60g CONN. GEN. STAT.<br />
7
2) Description of Job Categories (as used in Part IV <strong>Bid</strong>der Employment Information) (Page 2)<br />
MANAGEMENT: Managers plan, organize, direct, and control<br />
the major functions of an organization through subordinates<br />
who are at the managerial or supervisory level. They make<br />
policy decisions and set objectives for the company or<br />
departments. They are not usually directly involved in<br />
production or providing services. Examples include <strong>to</strong>p<br />
executives, public relations managers, managers of operations<br />
specialties (such as financial, human resources, or purchasing<br />
managers), and construction and engineering managers.<br />
BUSINESS AND FINANCIAL OPERATIONS: These<br />
occupations include managers and professionals who work<br />
with the financial aspects of the business. These occupations<br />
include accountants and audi<strong>to</strong>rs, purchasing agents,<br />
management analysts, labor relations specialists, and budget,<br />
credit, and financial analysts.<br />
COMPUTER SPECIALISTS: Professionals responsible for the<br />
computer operations within a company are grouped in this<br />
category. Examples of job titles in this category include<br />
computer programmers, software engineers, database<br />
administra<strong>to</strong>rs, computer scientists, systems analysts, and<br />
computer support specialists<br />
ARCHITECTURE AND ENGINEERING: Occupations related<br />
<strong>to</strong> architecture, surveying, engineering, and drafting are<br />
included in this category. Some of the job titles in this category<br />
include electrical and electronic engineers, surveyors,<br />
architects, drafters, mechanical engineers, materials<br />
engineers, mapping technicians, and civil engineers.<br />
OFFICE AND ADMINISTRATIVE SUPPORT: All clerical-type<br />
work is included in this category. These jobs involve the<br />
preparing, transcribing, and preserving of written<br />
communications and records; collecting accounts; gathering<br />
and distributing information; operating office machines and<br />
electronic data processing equipment; and distributing mail.<br />
Job titles listed in this category include telephone opera<strong>to</strong>rs,<br />
payroll clerks, bill and account collec<strong>to</strong>rs, cus<strong>to</strong>mer service<br />
representatives, files clerks, dispatchers, shipping clerks,<br />
secretaries and administrative assistants, computer opera<strong>to</strong>rs,<br />
mail clerks, and s<strong>to</strong>ck clerks.<br />
BUILDING AND GROUNDS CLEANING AND<br />
MAINTENANCE: This category includes occupations<br />
involving landscaping, housekeeping, and jani<strong>to</strong>rial services.<br />
Job titles found in this category include supervisors of<br />
landscaping or housekeeping, jani<strong>to</strong>rs, maids, grounds<br />
maintenance workers, and pest control workers.<br />
CONSTRUCTION AND EXTRACTION: This category<br />
includes construction trades and related occupations. Job<br />
titles found in this category include boilermakers, masons (all<br />
types), carpenters, construction laborers, electricians,<br />
plumbers (and related trades), roofers, sheet metal workers,<br />
eleva<strong>to</strong>r installers, hazardous materials removal workers,<br />
paperhangers, and painters. Paving, surfacing, and tamping<br />
equipment opera<strong>to</strong>rs; drywall and ceiling tile installers; and<br />
carpet, floor and tile installers and finishers are also included<br />
in this category. First line supervisors, foremen, and helpers<br />
in these trades are also grouped in this category..<br />
INSTALLATION, MAINTENANCE AND REPAIR:<br />
Occupations involving the installation, maintenance, and<br />
repair of equipment are included in this group. Examples of<br />
job titles found here are heating, ac, and refrigeration<br />
mechanics and installers; telecommunication line installers<br />
and repairers; heavy vehicle and mobile equipment service<br />
technicians and mechanics; small engine mechanics;<br />
security and fire alarm systems installers; electric/electronic<br />
repair, industrial, utility and transportation equipment;<br />
millwrights; riggers; and manufactured building and mobile<br />
home installers. First line supervisors, foremen, and helpers<br />
for these jobs are also included in the category.<br />
MATERIAL MOVING WORKERS: The job titles included in<br />
this group are Crane and <strong>to</strong>wer opera<strong>to</strong>rs; dredge,<br />
excavating, and lading machine opera<strong>to</strong>rs; hoist and winch<br />
opera<strong>to</strong>rs; industrial truck and trac<strong>to</strong>r opera<strong>to</strong>rs; cleaners of<br />
vehicles and equipment; laborers and freight, s<strong>to</strong>ck, and<br />
material movers, hand; machine feeders and offbearers;<br />
packers and packagers, hand; pumping station opera<strong>to</strong>rs;<br />
refuse and recyclable material collec<strong>to</strong>rs; and miscellaneous<br />
material moving workers.<br />
3) Definition of Racial and Ethnic Terms (as used in Part IV <strong>Bid</strong>der Employment Information)<br />
White (not of Hispanic Origin)- All persons having origins in<br />
any of the original peoples of Europe, North Africa, or the<br />
Middle East.<br />
Black(not of Hispanic Origin)- All persons having origins in any<br />
of the Black racial groups of Africa.<br />
Hispanic- All persons of Mexican, Puer<strong>to</strong> Rican, Cuban,<br />
Central or South American, or other Spanish culture or origin,<br />
regardless of race.<br />
Asian or Pacific Islander- All persons having origins in any of<br />
the original peoples of the Far East, Southeast Asia, the<br />
Indian subcontinent, or the Pacific Islands. This area includes<br />
China, India, Japan, Korea, the Philippine Islands, and<br />
Samoa.<br />
American Indian or Alaskan Native- All persons having<br />
origins in any of the original peoples of North America, and<br />
who maintain cultural identification through tribal affiliation or<br />
community recognition.<br />
8
BIDDER CONTRACT COMPLIANCE MONITORING REPORT<br />
PART I - <strong>Bid</strong>der Information (Page 3)<br />
Company Name<br />
Street Address<br />
City & State<br />
Chief Executive<br />
Major Business Activity<br />
(brief description)<br />
<strong>Bid</strong>der Federal Employer<br />
Identification Number____________________<br />
Or<br />
Social Security Number__________________<br />
<strong>Bid</strong>der Identification (response optional/definitions on page 1)<br />
-<strong>Bid</strong>der is a small contrac<strong>to</strong>r.<br />
Yes__ No__<br />
-<strong>Bid</strong>der is a minority business enterprise<br />
Yes__ No__<br />
(If yes, check ownership category)<br />
Black___ Hispanic___ Asian American___<br />
American Indian/Alaskan Native___ Iberian Peninsula___<br />
Individual(s) with a Physical Disability___ Female___<br />
<strong>Bid</strong>der Parent Company<br />
(If any) - <strong>Bid</strong>der is certified as above by State of CT Yes__ No__<br />
Other Locations in Ct.<br />
(If any)<br />
PART II - <strong>Bid</strong>der Nondiscrimination Policies and Procedures<br />
1. Does your company have a written Affirmative Action/Equal<br />
Employment Opportunity statement posted on company bulletin<br />
boards?<br />
Yes__ No__<br />
2. Does your company have the state-mandated sexual harassment<br />
prevention in the workplace policy posted on company bulletin<br />
boards?<br />
Yes__ No__<br />
3. Do you notify all recruitment sources in writing of your company’s<br />
Affirmative Action/Equal Employment Opportunity employment<br />
policy?<br />
Yes__ No__<br />
4. Do your company advertisements contain a written statement that<br />
you are an Affirmative Action/Equal Opportunity Employer?<br />
Yes__ No__<br />
5. Do you notify the Ct. State Employment Service of all employment<br />
openings with your company?<br />
Yes__ No__<br />
6. Does your company have a collective bargaining agreement with<br />
workers?<br />
Yes__ No__<br />
6a. If yes, do the collective bargaining agreements contain<br />
non-discrimination clauses covering all workers? Yes__ No__<br />
6b. Have you notified each union in writing of your<br />
commitments under the nondiscrimination requirements of<br />
contracts with the state of Ct.<br />
Yes__ No__<br />
- DAS Certification Number ___________________________<br />
7. Do all of your company contracts and purchase orders contain<br />
non-discrimination statements as required by Sections 4a-60 & 4a-<br />
60a Conn. Gen. Stat.?<br />
Yes__ No__<br />
8. Do you, upon request, provide reasonable accommodation <strong>to</strong><br />
employees, or applicants for employment, who have physical or<br />
mental disability?<br />
Yes__ No__<br />
9. Does your company have a manda<strong>to</strong>ry retirement age for all<br />
employees?<br />
Yes__ No__<br />
10. If your company has 50 or more employees, have you provided<br />
at least two (2) hours of sexual harassment training <strong>to</strong> all of your<br />
supervisors?<br />
Yes__ No__ NA__<br />
11. If your company has apprenticeship programs, do they meet the<br />
Affirmative Action/Equal Employment Opportunity requirements of<br />
the apprenticeship standards of the Ct. Dept. of Labor?<br />
Yes__ No__ NA__<br />
12. Does your company have a written affirmative action Plan?<br />
Yes__ No__<br />
If no, please explain.<br />
13. Is there a person in your company who is responsible for equal<br />
employment opportunity?<br />
Yes__ No__<br />
If yes, give name and phone<br />
number._________________________<br />
Part III - <strong>Bid</strong>der Subcontracting Practices<br />
1. Will the work of this contract include subcontrac<strong>to</strong>rs or suppliers? Yes__ No__<br />
1a. If yes, please list all subcontrac<strong>to</strong>rs and suppliers and report if they are a small contrac<strong>to</strong>r and/or a minority business enterprise.<br />
(defined on page 1 / use additional sheet if necessary)<br />
1b. Will the work of this contract require additional subcontrac<strong>to</strong>rs or suppliers other than those identified in 1a. above? Yes__ No__<br />
9
PART IV - <strong>Bid</strong>der Employment Information Date: (Page 4)<br />
JOB CATEGORY<br />
OVERALL<br />
TOTALS<br />
WHITE (not of<br />
Hispanic origin)<br />
BLACK (not of<br />
Hispanic origin)<br />
HISPANIC<br />
ASIAN or PACIFIC<br />
ISLANDER<br />
AMERICAN INDIAN or<br />
ALASKAN NATIVE<br />
Male Female Male Female Male Female Male Female Male Female<br />
Management<br />
Business & Financial<br />
Ops<br />
Computer Specialists<br />
Architecture/<br />
Engineering<br />
Office & Admin Support<br />
Bldg/ Grounds<br />
Cleaning/<br />
Maintenance<br />
Construction &<br />
Extraction<br />
Installation ,<br />
Maintenance<br />
& Repair<br />
Material Moving<br />
Workers<br />
TOTALS ABOVE<br />
Total One Year Ago<br />
FORMAL ON THE JOB TRAINEES (ENTER FIGURES FOR THE SAME CATEGORIES AS ARE SHOWN ABOVE)<br />
Apprentices<br />
Trainees<br />
PART V - <strong>Bid</strong>der Hiring and Recruitment Practices<br />
1. Which of the following recruitment sources are used by you?<br />
(Check yes or no, and report percent used)<br />
SOURCE YES NO % of applicants<br />
provided by source<br />
State Employment Service<br />
Private Employment<br />
Agencies<br />
Schools and Colleges<br />
Newspaper Advertisement<br />
Walk Ins<br />
Present Employees<br />
Labor Organizations<br />
Minority/Community<br />
Organizations<br />
Others (please identify)<br />
2. Check (X) any of the below listed<br />
requirements that you use as a hiring<br />
qualification<br />
Work Experience<br />
Ability <strong>to</strong> Speak or Write<br />
English<br />
Written Tests<br />
High School Diploma<br />
College Degree<br />
Union Membership<br />
Personal<br />
Recommendation<br />
Height or Weight<br />
Car Ownership<br />
Arrest Record<br />
3. Describe below any other practices or actions that you<br />
take which show that you hire, train, and promote<br />
employees without discrimination<br />
Wage Garnishments<br />
Certification (Read this form and check your statements on it CAREFULLY before signing). I certify that the statements made by me on this BIDDER CONTRACT COMPLIANCE MONITORING<br />
REPORT are complete and true <strong>to</strong> the best of my knowledge and belief, and are made in good faith. I understand that if I knowingly make any misstatements of facts, I am subject <strong>to</strong> be<br />
declared in non-compliance with Section 4a-60, 4a-60a, and related sections of the CONN. GEN. STAT.<br />
(Signature) (Title) (Date) (Telephone)<br />
10
OPM Ethics Form 1 Rev. 11-29-11<br />
Page 1 of 2<br />
STATE OF CONNECTICUT<br />
GIFT AND CAMPAIGN CONTRIBUTION CERTIFICATION<br />
Written or electronic certification <strong>to</strong> accompany a State contract with a value of $50,000 or more<br />
in a calendar or fiscal year, pursuant <strong>to</strong> C.G.S. §§ 4-250 and 4-252(c); Governor M. Jodi Rell’s<br />
Executive Orders No. 1, Para. 8, and No. 7C, Para. 10; and C.G.S. §9-612(g)(2)<br />
INSTRUCTIONS:<br />
Complete all sections of the form. Attach additional pages, if necessary, <strong>to</strong> provide full disclosure about any<br />
lawful campaign contributions made <strong>to</strong> campaigns of candidates for statewide public office or the General<br />
Assembly, as described herein. Sign and date the form, under oath, in the presence of a Commissioner of<br />
the Superior Court or Notary Public. Submit the completed form <strong>to</strong> the awarding State agency at the time<br />
of initial contract execution and if there is a change in the information contained in the most recently filed<br />
certification, such person shall submit an updated certification either (i) not later than thirty (30) days after<br />
the effective date of such change or (ii) upon the submittal of any new bid or proposal for a contract,<br />
whichever is earlier. Such person shall also submit an accurate, updated certification not later than fourteen<br />
days after the twelve-month anniversary of the most recently filed certification or updated certification.<br />
CHECK ONE: Initial Certification 12 Month Anniversary Update (Multi-year contracts only.)<br />
GIFT CERTIFICATION:<br />
Updated Certification because of change of information contained in the most<br />
recently filed certification or twelve-month anniversary update.<br />
As used in this certification, the following terms have the meaning set forth below:<br />
1) “Contract” means that contract between the State of Connecticut (and/or one or more of it agencies or<br />
instrumentalities) and the Contrac<strong>to</strong>r, attached here<strong>to</strong>, or as otherwise described by the awarding State<br />
agency below;<br />
2) If this is an Initial Certification, “Execution Date” means the date the Contract is fully executed by, and<br />
becomes effective between, the parties; if this is a twelve-month anniversary update, “Execution Date”<br />
means the date this certification is signed by the Contrac<strong>to</strong>r;<br />
3) “Contrac<strong>to</strong>r” means the person, firm or corporation named as the contac<strong>to</strong>r below;<br />
4) “Applicable Public Official or State Employee” means any public official or state employee described in<br />
C.G.S. §4-252(c)(1)(i) or (ii);<br />
5) “Gift” has the same meaning given that term in C.G.S. § 4-250(1);<br />
6) “Principals or Key Personnel” means and refers <strong>to</strong> those principals and key personnel of the Contrac<strong>to</strong>r,<br />
and its or their agents, as described in C.G.S. §§ 4-250(5) and 4-252(c)(1)(B) and (C).<br />
I, the undersigned, am a Principal or Key Personnel of the person, firm or corporation authorized <strong>to</strong> execute<br />
this certification on behalf of the Contrac<strong>to</strong>r. I hereby certify that, no gifts were made by (A) such person,<br />
firm, corporation, (B) any principals and key personnel of the person firm or corporation who participate<br />
substantially in preparing bids, proposals or negotiating state contracts or (C) any agent of such, firm,<br />
corporation, or principals or key personnel who participates substantially in preparing bids, proposals or<br />
negotiating state contracts, <strong>to</strong> (i) any public official or state employee of the state agency or quasi-public<br />
agency soliciting bids or proposals for state contracts who participates substantially in the preparation of bid<br />
solicitations or request for proposals for state contracts or the negotiation or award of state contracts or (ii)<br />
any public official or state employee of any other state agency, who has supervisory or appointing authority<br />
over such state agency or quasi-public agency.<br />
I further certify that no Principals or Key Personnel know of any action by the Contrac<strong>to</strong>r <strong>to</strong> circumvent (or<br />
which would result in the circumvention of) the above certification regarding Gifts by providing for any other<br />
Principals, Key Personnel, officials, or employees of the Contrac<strong>to</strong>r, or its or their agents, <strong>to</strong> make a Gift <strong>to</strong><br />
any Applicable Public Official or State Employee. I further certify that the Contrac<strong>to</strong>r made the bid or<br />
proposal for the Contract without fraud or collusion with any person.
OPM Ethics Form 1 Rev. 11-29-11<br />
Page 2 of 2<br />
CAMPAIGN CONTRIBUTION CERTIFICATION:<br />
I further certify that, on or after December 31, 2006, neither the Contrac<strong>to</strong>r nor any of its principals, as<br />
defined in C.G.S. § 9-612(g)(1), has made any campaign contributions <strong>to</strong>, or solicited any contributions<br />
on behalf of, any explora<strong>to</strong>ry committee, candidate committee, political committee, or party committee<br />
established by, or supporting or authorized <strong>to</strong> support, any candidate for statewide public office, in violation<br />
of C.G.S. § 9-612(g)(2)(A). I further certify that all lawful campaign contributions that have been made<br />
on or after December 31, 2006 by the Contrac<strong>to</strong>r or any of its principals, as defined in C.G.S. § 9-612(g)(1),<br />
<strong>to</strong>, or solicited on behalf of, any explora<strong>to</strong>ry committee, candidate committee, political committee, or party<br />
committee established by, or supporting or authorized <strong>to</strong> support any candidates for statewide public office<br />
or the General Assembly, are listed below:<br />
Lawful Campaign Contributions <strong>to</strong> Candidates for Statewide Public Office:<br />
Contribution Date Name of Contribu<strong>to</strong>r Recipient Value Description<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
Lawful Campaign Contributions <strong>to</strong> Candidates for the General Assembly:<br />
Contribution Date Name of Contribu<strong>to</strong>r Recipient Value Description<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
Sworn as true <strong>to</strong> the best of my knowledge and belief, subject <strong>to</strong> the penalties of false statement.<br />
__________________________________<br />
Printed Contrac<strong>to</strong>r Name<br />
_________________________________________<br />
Printed Name of Authorized Official<br />
___________________________________<br />
Signature of Authorized Official<br />
Subscribed and acknowledged before me this ______ day of __________________, 20___.<br />
___________________________________________<br />
Commissioner of the Superior Court (or Notary Public)
STATE OF CONNECTICUT<br />
NONDISCRIMINATION CERTIFICATION — Representation<br />
By Entity<br />
For Contracts Valued at Less Than $50,000<br />
Form B<br />
07-08-2009<br />
Written representation that complies with the nondiscrimination agreements and warranties under<br />
Connecticut General Statutes §§ 4a-60(a)(1) and 4a-60a(a)(1), as amended<br />
INSTRUCTIONS:<br />
For use by an entity (corporation, limited liability company, or partnership) when entering in<strong>to</strong> any contract<br />
type with the State of Connecticut valued at less than $50,000 for each year of the contract. Complete all<br />
sections of the form. Submit <strong>to</strong> the awarding State agency prior <strong>to</strong> contract execution.<br />
REPRESENTATION OF AN ENTITY:<br />
I, _________________________ , ___________________ , of _______________________________ ,<br />
Authorized Signa<strong>to</strong>ry Title Name of Entity<br />
an entity duly formed and existing under the laws of __________________________________ ,<br />
Name of State or Commonwealth<br />
represent that I am authorized <strong>to</strong> execute and deliver this representation on behalf of<br />
________________________________ and that ________________________________<br />
Name of Entity<br />
Name of Entity<br />
has a policy in place that complies with the nondiscrimination agreements and warranties of Connecticut<br />
General Statutes §§ 4a-60(a)(1) and 4a-60a(a)(1), as amended.<br />
___________________________________________<br />
Authorized Signa<strong>to</strong>ry<br />
___________________________________<br />
Date<br />
___________________________________________<br />
Printed Name<br />
12
STATE OF CONNECTICUT<br />
NONDISCRIMINATION CERTIFICATION — Affidavit<br />
By Entity<br />
For Contracts Valued at $50,000 or More<br />
Form C<br />
07-08-2009<br />
Documentation in the form of an affidavit signed under penalty of false statement by a chief executive<br />
officer, president, chairperson, member, or other corporate officer duly authorized <strong>to</strong> adopt corporate,<br />
company, or partnership policy that certifies the contrac<strong>to</strong>r complies with the nondiscrimination<br />
agreements and warranties under Connecticut General Statutes §§ 4a-60(a)(1) and 4a-60a(a)(1), as<br />
amended<br />
INSTRUCTIONS:<br />
For use by an entity (corporation, limited liability company, or partnership) when entering in<strong>to</strong> any contract<br />
type with the State of Connecticut valued at $50,000 or more for any year of the contract. Complete all<br />
sections of the form. Sign form in the presence of a Commissioner of Superior Court or Notary Public.<br />
Submit <strong>to</strong> the awarding State agency prior <strong>to</strong> contract execution.<br />
AFFIDAVIT:<br />
I, the undersigned, am over the age of eighteen (18) and understand and appreciate the obligations of<br />
an oath. I am _________________________ of ________________________________ , an entity<br />
Signa<strong>to</strong>ry’s Title<br />
Name of Entity<br />
duly formed and existing under the laws of _____________________________________.<br />
Name of State or Commonwealth<br />
I certify that I am authorized <strong>to</strong> execute and deliver this affidavit on behalf of<br />
________________________________ and that ________________________________<br />
Name of Entity<br />
Name of Entity<br />
has a policy in place that complies with the nondiscrimination agreements and warranties of Connecticut<br />
General Statutes §§ 4a-60(a)(1)and 4a-60a(a)(1), as amended.<br />
___________________________________________<br />
Authorized Signa<strong>to</strong>ry<br />
___________________________________________<br />
Printed Name<br />
Sworn and subscribed <strong>to</strong> before me on this ______ day of ____________, 20____.<br />
___________________________________________<br />
Commissioner of the Superior Court/<br />
Notary Public<br />
___________________________________<br />
Commission Expiration Date<br />
13
CERTIFIED RESOLUTION<br />
I, (name of Secretary), Secretary of (name of corporation), a corporation<br />
organized and existing under the laws of the State of __________ (the<br />
“Company”), do hereby certify that the following is a true and correct copy of a<br />
resolution duly adopted at a meeting of the Board of Direc<strong>to</strong>rs of the Company<br />
duly held and convened on ______________, 200__, at which meeting a duly<br />
constituted quorum of the Board of Direc<strong>to</strong>rs was present and acting throughout,<br />
and that such resolution has not been modified, rescinded or revoked, and is at<br />
present in full force and effect:<br />
RESOLVED: That (name of officer),(office held e.g. president, vice<br />
president. etc.), of (name of corporation), is empowered and authorized <strong>to</strong><br />
execute and deliver contracts on behalf of the Company.<br />
[or if the signa<strong>to</strong>ry has received authorization specifically for the UConn<br />
contract, use the paragraph below and delete the paragraph above (including<br />
this internal note)]<br />
RESOLVED: That (name of officer), (office held e.g. president. vice<br />
president. etc.), of (name of corporation), is empowered and authorized <strong>to</strong><br />
execute and deliver in the name and on behalf of this Company a certain contract<br />
with __________ the University of Connecticut for (general description of<br />
services) and <strong>to</strong> affix the corporate seal [if applicable].<br />
IN WITNESS WHEREOF, the undersigned has affixed his/her<br />
signature and the corporate seal of the Company this ______ day<br />
of___________, 200__.<br />
[or, if the corporation has no seal use the paragraph below and delete the<br />
paragraph above (including this internal note)]<br />
IN WITNESS WHEREOF, the undersigned has affixed his/her<br />
signature this _____ day of, 200__. The Company has no corporate seal.<br />
_______________________<br />
(Name), Secretary<br />
(Corporate Seal or “L.S. “)<br />
15
EXHIBIT A - SEEC FORM 11<br />
CONNECTICUT STATE ELECTIONS ENFORCEMENT COMMISSION<br />
Rev. 1/11<br />
NOTICE TO EXECUTIVE BRANCH STATE CONTRACTORS AND PROSPECTIVE STATE<br />
CONTRACTORS OF CAMPAIGN CONTRIBUTION AND SOLICITATION LIMITATIONS<br />
This notice is provided under the authority of Connecticut General Statutes §9-612(g)(2), as amended by P.A. 10-1, and is for the<br />
purpose of informing state contrac<strong>to</strong>rs and prospective state contrac<strong>to</strong>rs of the following law (italicized words are defined on the<br />
reverse side of this page).<br />
CAMPAIGN CONTRIBUTION AND SOLICITATION LIMITATIONS<br />
No state contrac<strong>to</strong>r, prospective state contrac<strong>to</strong>r, principal of a state contrac<strong>to</strong>r or principal of a prospective state contrac<strong>to</strong>r,<br />
with regard <strong>to</strong> a state contract or state contract solicitation with or from a state agency in the executive branch or a quasi-public<br />
agency or a holder, or principal of a holder of a valid prequalification certificate, shall make a contribution <strong>to</strong> (i) an explora<strong>to</strong>ry<br />
committee or candidate committee established by a candidate for nomination or election <strong>to</strong> the office of Governor, Lieutenant<br />
Governor, At<strong>to</strong>rney General, State Comptroller, Secretary of the State or State Treasurer, (ii) a political committee authorized <strong>to</strong><br />
make contributions or expenditures <strong>to</strong> or for the benefit of such candidates, or (iii) a party committee (which includes <strong>to</strong>wn<br />
committees).<br />
In addition, no holder or principal of a holder of a valid prequalification certificate, shall make a contribution <strong>to</strong> (i) an<br />
explora<strong>to</strong>ry committee or candidate committee established by a candidate for nomination or election <strong>to</strong> the office of State<br />
sena<strong>to</strong>r or State representative, (ii) a political committee authorized <strong>to</strong> make contributions or expenditures <strong>to</strong> or for the benefit of<br />
such candidates, or (iii) a party committee.<br />
On and after January 1, 2011, no state contrac<strong>to</strong>r, prospective state contrac<strong>to</strong>r, principal of a state contrac<strong>to</strong>r or principal of a<br />
prospective state contrac<strong>to</strong>r, with regard <strong>to</strong> a state contract or state contract solicitation with or from a state agency in the executive<br />
branch or a<br />
quasi-public agency or a holder, or principal of a holder of a valid prequalification certificate, shall knowingly solicit<br />
contributions from the state contrac<strong>to</strong>r's or prospective state contrac<strong>to</strong>r's employees or from a subcontrac<strong>to</strong>r or principals of the<br />
subcontrac<strong>to</strong>r on behalf of (i)<br />
an explora<strong>to</strong>ry committee or candidate committee established by a candidate for nomination or election <strong>to</strong> the office of<br />
Governor,<br />
Lieutenant Governor, At<strong>to</strong>rney General, State Comptroller, Secretary of the State or State Treasurer, (ii) a political committee<br />
authorized <strong>to</strong> make contributions or expenditures <strong>to</strong> or for the benefit of such candidates, or (iii) a party committee.<br />
DUTY TO INFORM<br />
State contrac<strong>to</strong>rs and prospective state contrac<strong>to</strong>rs are required <strong>to</strong> inform their principals of the above prohibitions, as applicable,<br />
and the possible penalties and other consequences of any violation thereof.<br />
PENALTIES FOR VIOLATIONS<br />
Contributions or solicitations of contributions made in violation of the above prohibitions may result in the following civil and<br />
criminal penalties:<br />
Civil penalties—Up <strong>to</strong> $2,000 or twice the amount of the prohibited contribution, whichever is greater, against a principal or a<br />
contrac<strong>to</strong>r. Any state contrac<strong>to</strong>r or prospective state contrac<strong>to</strong>r which fails <strong>to</strong> make reasonable efforts <strong>to</strong> comply with the<br />
provisions requiring notice <strong>to</strong> its principals of these prohibitions and the possible consequences of their violations may also be<br />
subject <strong>to</strong> civil penalties of up <strong>to</strong> $2,000 or twice the amount of the prohibited contributions made by their principals.<br />
Criminal penalties—Any knowing and willful violation of the prohibition is a Class D felony, which may subject the<br />
viola<strong>to</strong>r <strong>to</strong> imprisonment of not more than 5 years, or not more than $5,000 in fines, or both.<br />
CONTRACT CONSEQUENCES<br />
In the case of a state contrac<strong>to</strong>r, contributions made or solicited in violation of the above prohibitions may resulting the<br />
contract being voided.<br />
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In the case of a prospective state contrac<strong>to</strong>r, contributions made or solicited in violation of the above prohibitions shall result in<br />
the contract described in the state contract solicitation not being awarded <strong>to</strong> the prospective state contrac<strong>to</strong>r, unless the State<br />
Elections Enforcement Commission determines that mitigating circumstances exist concerning such violation.<br />
The State shall not award any other state contract <strong>to</strong> anyone found in violation of the above prohibitions for a period of one year<br />
after the election for which such contribution is made or solicited, unless the State Elections Enforcement Commission determines<br />
that mitigating circumstances exist concerning such violation.<br />
Additional information may be found on the website of the State Elections Enforcement Commission, www.ct.gov/seec. Click<br />
on the link <strong>to</strong> “Lobbyist/Contrac<strong>to</strong>r Limitations.”<br />
DEFINITIONS<br />
“State contrac<strong>to</strong>r” means a person, business entity or nonprofit organization that enters in<strong>to</strong> a state contract. Such person, business entity or<br />
nonprofit organization shall be deemed <strong>to</strong> be a state contrac<strong>to</strong>r until December thirty-first of the year in which such contract terminates. “State<br />
contrac<strong>to</strong>r” does not include a municipality or any other political subdivision of the state, including any entities or associations duly created by the<br />
municipality or political subdivision exclusively amongst themselves <strong>to</strong> further any purpose authorized by statute or charter, or an employee in the<br />
executive or legislative branch of state government or a quasi-public agency, whether in the classified or unclassified service and full or part-time,<br />
and only in such person's capacity as a state or quasi-public agency employee.<br />
“Prospective state contrac<strong>to</strong>r” means a person, business entity or nonprofit organization that (i) submits a response <strong>to</strong> a state contract solicitation by<br />
the state, a state agency or a quasi-public agency, or a proposal in response <strong>to</strong> a request for proposals by the state, a state agency or a quasipublic<br />
agency, until the contract has been entered in<strong>to</strong>, or (ii) holds a valid prequalification certificate issued by the Commissioner of<br />
Administrative Services under section 4a-100. “Prospective state contrac<strong>to</strong>r” does not include a municipality or any other political subdivision of<br />
the state, including any entities or associations duly created by the municipality or political subdivision exclusively amongst themselves <strong>to</strong> further<br />
any purpose authorized by statute or charter, or an employee in the executive or legislative branch of state government or a quasi-public agency,<br />
whether in the classified or unclassified service and full or part-time, and only in such person's capacity as a state or quasi-public agency employee.<br />
“Principal of a state contrac<strong>to</strong>r or prospective state contrac<strong>to</strong>r” means (i) any individual who is a member of the board of direc<strong>to</strong>rs of, or has an<br />
ownership interest of five per cent or more in, a state contrac<strong>to</strong>r or prospective state contrac<strong>to</strong>r, which is a business entity, except for an individual<br />
who is a member of the board of direc<strong>to</strong>rs of a nonprofit organization, (ii) an individual who is employed by a state contrac<strong>to</strong>r or prospective state<br />
contrac<strong>to</strong>r, which is a business entity, as president, treasurer or executive vice president, (iii) an individual who is the chief executive officer of a<br />
state contrac<strong>to</strong>r or prospective state contrac<strong>to</strong>r, which is not a business entity, or if a state contrac<strong>to</strong>r or prospective state contrac<strong>to</strong>r has no such<br />
officer, then the officer who duly possesses comparable powers and duties, (iv) an officer or an employee of any state contrac<strong>to</strong>r or prospective<br />
state contrac<strong>to</strong>r who has managerial or discretionary responsibilities with respect <strong>to</strong> a state contract, (v) the spouse or a dependent child who is<br />
eighteen years of age or older of an individual described in this subparagraph, or (vi) a political committee established or controlled by an<br />
individual described in this subparagraph or the business entity or nonprofit organization that is the state contrac<strong>to</strong>r or prospective state contrac<strong>to</strong>r.<br />
“State contract” means an agreement or contract with the state or any state agency or any quasi-public agency, let through a procurement process or<br />
otherwise, having a value of fifty thousand dollars or more, or a combination or series of such agreements or contracts having a value of one<br />
hundred thousand dollars or more in a calendar year, for (i) the rendition of services, (ii) the furnishing of any goods, material, supplies,<br />
equipment or any items of any kind, (iii) the construction, alteration or repair of any public building or public work, (iv) the acquisition, sale or<br />
lease of any land or building, (v) a licensing arrangement, or (vi) a grant, loan or loan guarantee. “State contract” does not include any agreement<br />
or contract with the state, any state agency or any quasi-public agency that is exclusively federally funded, an education loan, a loan <strong>to</strong> an<br />
individual for other than commercial purposes or any agreement or contract between the state or any state agency and the United States Department<br />
of the Navy or the United States Department of Defense.<br />
“State contract solicitation” means a request by a state agency or quasi-public agency, in whatever form issued, including, but not limited <strong>to</strong>, an<br />
invitation <strong>to</strong> bid, request for proposals, request for information or request for quotes, inviting bids, quotes or other types of submittals, through a<br />
competitive procurement process or another process authorized by law waiving competitive procurement.<br />
“Managerial or discretionary responsibilities with respect <strong>to</strong> a state contract” means having direct, extensive and substantive responsibilities with<br />
respect <strong>to</strong> the negotiation of the state contract and not peripheral, clerical or ministerial responsibilities.<br />
“Dependent child” means a child residing in an individual’s household who may legally be claimed as a dependent on the federal income<br />
tax of such individual.<br />
“Solicit” means (A) requesting that a contribution be made, (B) participating in any fund-raising activities for a candidate committee, explora<strong>to</strong>ry<br />
committee, political committee or party committee, including, but not limited <strong>to</strong>, forwarding tickets <strong>to</strong> potential contribu<strong>to</strong>rs, receiving<br />
contributions for transmission <strong>to</strong> any such committee or bundling contributions, (C) serving as chairperson, treasurer or deputy treasurer of any<br />
such committee, or (D) establishing a political committee for the sole purpose of soliciting or receiving contributions for any committee. Solicit<br />
does not include: (i) making a contribution that is otherwise permitted by Chapter 155 of the Connecticut General Statutes; (ii) informing any<br />
person of a position taken by a candidate for public office or a public official, (iii) notifying the person of any activities of, or contact information<br />
for, any candidate for public office; or (iv) serving as a member in any party committee or as an officer of such committee that is not otherwise<br />
prohibited in this section.<br />
Page 47 of 50
“Subcontrac<strong>to</strong>r” means any person, business entity or nonprofit organization that contracts <strong>to</strong> perform part or all of the obligations of a state<br />
contrac<strong>to</strong>r's state contract. Such person, business entity or nonprofit organization shall be deemed <strong>to</strong> be a subcontrac<strong>to</strong>r until December thirty first<br />
of the year in which the subcontract terminates. “Subcontrac<strong>to</strong>r” does not include (i) a municipality or any other political subdivision of the state,<br />
including any entities or associations duly created by the municipality or political subdivision exclusively amongst themselves <strong>to</strong> further any<br />
purpose authorized by statute or charter, or (ii) an employee in the executive or legislative branch of state government or a quasi-public agency,<br />
whether in the classified or unclassified service and full or part-time, and only in such person's capacity as a state or quasi-public agency<br />
employee.<br />
“Principal of a subcontrac<strong>to</strong>r” means (i) any individual who is a member of the board of direc<strong>to</strong>rs of, or has an ownership interest of five per cent<br />
or more in, a subcontrac<strong>to</strong>r, which is a business entity, except for an individual who is a member of the board of direc<strong>to</strong>rs of a nonprofit<br />
organization, (ii) an individual who is employed by a subcontrac<strong>to</strong>r, which is a business entity, as president, treasurer or executive vice president,<br />
(iii) an individual who is the chief executive officer of a subcontrac<strong>to</strong>r, which is not a business entity, or if a subcontrac<strong>to</strong>r has no such officer,<br />
then the officer who duly possesses comparable powers and duties, (iv) an officer or an employee of any subcontrac<strong>to</strong>r who has managerial or<br />
discretionary responsibilities with respect <strong>to</strong> a subcontract with a state contrac<strong>to</strong>r, (v) the spouse or a dependent child who is eighteen years of<br />
age or older of an individual described in this subparagraph, or (vi) a political committee established or controlled by an individual described in<br />
this subparagraph or the business entity or nonprofit organization that is the subcontrac<strong>to</strong>r.<br />
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